ORIGINAL ARTICLES
Is blood transfusion justified during soft tissue surgery in Noma patients? A one-year appraisal at Noma Children Hospital, Sokoto, Nigeria
Mujtaba Bala1, Olalere Omoyosola Gbolahan2, Abdurrazaq Olanrewaju Taiwo1, Ramat Oyebunmi Braimah1, Adebayo Aremu Ibikunle1, Muhammad Kaura Abubakar3
1 Department of Oral and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
2 Department of Oral and Maxillofacial Surgery, UCH, Ibadan, Nigeria
3 Department of Dental and Maxillofacial Surgery, FMC, Gusau, Nigeria
Correspondence Address:
Dr. Mujtaba Bala
Department of Oral and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto
Nigeria
Source of Support: None
Conflict of Interest: None
| Click for full text |
Background: Non-utilization of blood and inappropriate blood transfusion are common in surgical operations. Some surgical procedures are associated with minimal bleeding that does not warrant blood transfusion. No previous study has looked at the pattern of blood loss in noma defect repair to determine the possible need for blood transfusion.
Aim/Objectives: This study aimed to determine the total amount of blood loss, the number of units of blood transfused, and the correlation between estimated blood loss and total operating time in patients who had surgical correction of noma defects.
Materials and Methods: This is a hospital-based cross-sectional study of 35 patients who underwent surgical correction of noma defects. Age, sex, pre- and post-operative haemoglobin (Hb), number of requested blood units, total operating time, and total estimated blood loss were recorded. The methods used for the blood loss estimation were gauze swabs, Abdo-packs, drapes, and suction bottles.
Results: Comparison of the mean pre- and post-operative Hb did not yield any statistically significant difference. The total estimated blood loss in these surgeries was in the range of 65–209 mL, with a mean of 117.20?±?35.88 mL. No correlation between estimated blood loss and total operating time was noted (P = 0.940). No blood was transfused in any of the subjects.
Conclusion: This study observed minimal blood loss in surgical corrections of the soft tissue noma defect. Apart from blood grouping, there may be no need for routine cross-matching of blood pre-operatively for surgical repair of noma defect. However, more studies are needed to buttress this finding.
| Click for full text |