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Perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at Groote Schuur Hospital

Surgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures; therefore, the standard of care for certain skull base tumours has become endoscopic transnasal resection. Other surgical disciplines often use cell salvage techniques, but review...

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Main Author: Wasl, Hisham
Other Authors: Lubbe, Darlene
Format: Thesis
Language:English
Published: Division of Otorhinolaryngology 2015
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access_status_str Open Access
author Wasl, Hisham
author2 Lubbe, Darlene
author_browse Lubbe, Darlene
Wasl, Hisham
author_facet Lubbe, Darlene
Wasl, Hisham
author_sort Wasl, Hisham
collection Thesis
description Surgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures; therefore, the standard of care for certain skull base tumours has become endoscopic transnasal resection. Other surgical disciplines often use cell salvage techniques, but review of the otolaryngology literature reveals very few case reports. General surgery procedures are often carried out in a contaminated field and concerns have been raised about its safety. This study investigates the value and safety of salvage-type autologous blood transfusion during the endoscopic resection of juvenile nasopharyngeal angiofibromas (JNA). Methods: Because JNA is a rare vascular nasal tumour, the study extended over a 3-year period to obtain adequate patient numbers. All patients undergoing endoscopic resection during this period were included in the population sample. Ten patients with JNA were identified and underwent embolization prior to endoscopic resection. In all cases the intraoperative blood salvage apparatus was used. Close post-operative monitoring was performed.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:34:03.682Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
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publisher Division of Otorhinolaryngology
publisherStr Division of Otorhinolaryngology
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spelling oai:open.uct.ac.za:11427/15752 Perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at Groote Schuur Hospital Wasl, Hisham Lubbe, Darlene Otorhinolaryngology Surgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures; therefore, the standard of care for certain skull base tumours has become endoscopic transnasal resection. Other surgical disciplines often use cell salvage techniques, but review of the otolaryngology literature reveals very few case reports. General surgery procedures are often carried out in a contaminated field and concerns have been raised about its safety. This study investigates the value and safety of salvage-type autologous blood transfusion during the endoscopic resection of juvenile nasopharyngeal angiofibromas (JNA). Methods: Because JNA is a rare vascular nasal tumour, the study extended over a 3-year period to obtain adequate patient numbers. All patients undergoing endoscopic resection during this period were included in the population sample. Ten patients with JNA were identified and underwent embolization prior to endoscopic resection. In all cases the intraoperative blood salvage apparatus was used. Close post-operative monitoring was performed. 2015-12-10T09:27:43Z 2015-12-10T09:27:43Z 2015 Master Thesis Masters MMed http://hdl.handle.net/11427/15752 eng application/pdf Division of Otorhinolaryngology Faculty of Health Sciences University of Cape Town
spellingShingle Otorhinolaryngology
Wasl, Hisham
Perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at Groote Schuur Hospital
thesis_degree_str Master's
title Perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at Groote Schuur Hospital
title_full Perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at Groote Schuur Hospital
title_fullStr Perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at Groote Schuur Hospital
title_full_unstemmed Perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at Groote Schuur Hospital
title_short Perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at Groote Schuur Hospital
title_sort perioperative cell salvage blood transfusions in endonasal angiofibroma surgery at groote schuur hospital
topic Otorhinolaryngology
url http://hdl.handle.net/11427/15752
work_keys_str_mv AT waslhisham perioperativecellsalvagebloodtransfusionsinendonasalangiofibromasurgeryatgrooteschuurhospital