Chaudhari Vinita, Mohammad Hossain, Khan Umair
General Surgery, United Lincolnshire Hospitals Trust, Lincoln, GBR.
Cureus. 2024 Dec 1;16(12):e74898. doi: 10.7759/cureus.74898. eCollection 2024 Dec.
The routine use of preoperative group and save (G&S) blood tests in emergency laparoscopic appendicectomies has been a standard yet often unquestioned practice. However, with the advancements in laparoscopic techniques and the low risk of intraoperative bleeding, is this precaution necessary? Analysing 276 emergency appendicectomy cases over a year, our study revealed that no transfusions were required due to surgical complications. Nevertheless, routine G&S testing causes considerable financial and resource strains, consuming valuable time and delaying treatment. These results question the value of this practice and suggest a need for reevaluation. Can we achieve better resource management while maintaining patient safety? By proposing targeted testing for high-risk individuals, this article sparks debate on optimising preoperative strategies.
在急诊腹腔镜阑尾切除术中常规进行术前血型鉴定和交叉配血试验一直是一种标准做法，且常常未受到质疑。然而，随着腹腔镜技术的进步以及术中出血风险较低，这种预防措施是否必要呢？通过分析一年多来的276例急诊阑尾切除术病例，我们的研究发现，没有因手术并发症而需要输血的情况。尽管如此，常规的血型鉴定和交叉配血试验造成了相当大的财务和资源压力，耗费了宝贵的时间并延误了治疗。这些结果对这种做法的价值提出了质疑，并表明有必要重新评估。我们能否在确保患者安全的同时实现更好的资源管理？通过提议对高危个体进行有针对性的检测，本文引发了关于优化术前策略的讨论。
