Obstetric intra-operative cell salvage: a review of an established cell salvage service with 1170 re-infused cases

The use of cell salvage during caesarean section has been increasing steadily, although there are concerns relating to cost, a perceived risk of amniotic fluid embolism, and fetal red cell sensitisation. We present observational data from almost a decade of use of intra-operative cell salvage in obstetrics. By the end of this period, we set up cell salvage collection for > 98% of all caesarean sections. From 2008 to 2017, 1170 women have had a re-infusion of cell salvaged blood with no clinical safety concerns; the median (IQR [range]) volume was 231 (154–306 [80–1690]) ml. During this time there has been a marked reduction in the number of women who were transfused allogeneic blood, as well as the amount of blood transfused. In total, 647 (55%) women have had alloimmunisation testing, with two positive cases. Quality control data indicate that the quality of blood processed from partial first bowls is no worse than that from full bowls. We discuss the costs of providing this service with regard to: staffing costs; single suction; leucodepletion filters; selectivity in the processing of collected blood; and the use of partial first bowls.     

NCEPOD review of the peri-operative care of surgical patients and implementation in obstetrics and gynaecology

A recent report published by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has shown shortcomings in the peri-operative care of high risk surgical patients in the United Kingdom. The review found that there were deficiencies in pre-operative assessment, intra-operative management and post-operative care. The report has generated a number of recommendations with the aim of improving the management of high risk surgical patients, and the delivery and planning of care. There are increasing numbers of high risk surgical patients in obstetrics and gynaecology, linked to factors such as advancing age, increased body mass index (BMI) and higher prevalence of co-morbidities. The report is clearly applicable to our patient population, and it is therefore important that the findings are reviewed and the recommendations implemented in women's healthcare.     

Uses of FloSeal© in obstetric hemorrhage: Case series and literature review

Objective

FloSeal^© has been shown to be an alternative and effective method of hemostasis. The current study examines the various uses of FloSeal^© in obstetric hemorrhage and gives an overview of the literature.

微波治疗妇产科腹部切口脂肪液化病人81例的效果分析

目的 分析评价微波治疗妇产科腹部手术后切口脂肪液化的临床应用价值.方法 将162例病人随机分成观察组与对照组各81例,前者进行微波治疗;后者采用传统治疗,比较分析两组病人的治疗所需时间、伤口愈合时间以及临床治疗的总有效率.结果 两组之间比较差异显著(P均＜0.05),具有统计学意义.结论 采用微波治疗能明显缩短治疗时间,促进病人的伤口愈合,值得在临床上广泛推广并应用.     

深切怀念敬爱的老师，学习老师的优良作风

关于怎样做一名医生,怎样做一名好的妇产科医生,这是人们平时议论较多的话题。为什么现在又提出这个问题？因为,目前对医生的批评很多,其中对妇产科医生的不满也很多;当然,客观的原因不少,不过认真想想,这些年来,有些医生的道德水平的确是退步了,对患者的态度不好,追求名利。这让我常常想到当年我们老师的工作作风,他们的一言一行时常浮现在我的脑海中…… 浏览更多请关注本刊微信公众号及当期杂志。     

多媒体课件在妇产科学示教课中的应用探索

使用多媒体课件进行妇产科学示教课程教学,与传统教学手段相比有着不可替代的优势,有助于培养全面发展的医学人才,能够显著提高妇产科学示教课程教学效果。