Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2018, Vol. 14 ›› Issue (05): 617 -620. doi: 10.3877/cma.j.issn.1673-5250.2018.05.021

Special Issue:

Review

Research progress of intraoperative cell salvage in obstetrics

Haibing Li1   

  1. 1. Department of Anesthesiology, First Maternity and Infant Hospital Affiliated to Tongji University, Shanghai 201204, China
  • Received:2018-04-08 Revised:2018-06-19 Published:2018-10-01
  • About author:
    Corresponding author: Liu Zhiqiang, Email:
  • Supported by:
    Joint Key Project of Heath and Family Planning Commission of Pudong New District in Shanghai(PW2016D-10); Medical Guiding Project of Shanghai Science and Technology Committee(16411967400)

Intraoperative cell salvage is one of the strategies to avoid allogeneic blood transfusion. Before 1970s, in order to avoid amniotic fluid embolism or maternal immune response, intraoperative cell salvage was almost forbidden in obstetric operations. Intraoperative cell salvage was applied to obstetric operations until the application of leukocyte depletion filter (LDF) in recent years. The level of fetal squamous cells in autologous blood treated with cell saver and filtered by LDF is basically the same as that of maternal vein blood after placenta stripping. So far, there are no definite cases of amniotic fluid embolism due to intraoperative cell salvage reported. For obstetric patients with bleeding who are expected to have a tight blood source, intraoperative cell salvage may be considered. This article mainly reviews research progress of intraoperative cell salvage in obstetrics.

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