Optimization of Correction of Intraoperative Blood Loss with Hemocomponents during Colon Surgery in Patients with Colostomies and Colonic Fistulas
Annotatsiya
Abstract: Intraoperative blood loss during colon surgery poses significant challenges, particularly in patients with colostomies and colonic fistulas. This study aims to optimize the correction of blood loss through the strategic use of hemocomponents. We conducted a comprehensive analysis of 120 patients undergoing colon surgery, with a subset having colostomies and colonic fistulas. Various hemocomponents, including packed red blood cells, fresh frozen plasma, and platelets, were evaluated for their efficacy in managing intraoperative blood loss. The optimization strategy was based on preoperative hemoglobin levels, intraoperative blood loss estimation, and real-time monitoring of coagulation parameters. Our findings suggest that a tailored approach to hemocomponent administration, guided by continuous hemodynamic and laboratory assessments, significantly improves patient outcomes by reducing the incidence of postoperative complications and the need for reoperation. This study underscores the importance of individualized blood management protocols in enhancing surgical outcomes for patients with complex colorectal conditions.