{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T01:13:05Z","timestamp":1778893985700,"version":"3.51.4"},"reference-count":52,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Patient blood management (PBM) is a multidisciplinary approach aimed at reducing the use of blood products. It considers the patient's own blood as a valuable resource to preserve and seeks to avoid the routine use of transfusions to treat anaemia. PBM is primarily based on interventions implemented by anaesthesiologists, including preoperative anaemia correction, targeted administration of coagulation factors and tranexamic acid and strict adherence to transfusion protocols. However, the role of surgical approaches in this context deserves attention. Indeed, surgical innovations over the past two decades have significantly contributed to reducing transfusion requirements. This review will focus on this aspect of PBM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>For this review, we performed a comprehensive search of the PubMed database related to PBM in surgery and also consulted other relevant databases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the preoperative period, advances in diagnostic techniques, surgical indications and surgical access allow for two blood\u2010sparing options: active surveillance or alternatives to surgery. In the intraoperative period, the development of minimally invasive approaches, the use of innovative haemostatic techniques, per surgery autologous transfusion (cell salvage) and the prevention of hypothermia contribute to the reduction of blood loss and, consequently, the need for transfusion. In the postoperative period, proactive patient management through careful monitoring and the application of enhanced recovery after surgery principles plays a major role in decreasing overall postoperative morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These innovations have significantly reduced the need for transfusion in surgical practice. They enhance patient safety by minimizing bleeding and transfusion\u2010related risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vox.70179","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T02:30:02Z","timestamp":1770690602000},"page":"540-545","source":"Crossref","is-referenced-by-count":0,"title":["Patient blood management and surgery: Impact of new surgical techniques on transfusion needs"],"prefix":"10.1111","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5957-2950","authenticated-orcid":false,"given":"Francois","family":"Ansart","sequence":"first","affiliation":[{"name":"Department of Digestive, Pancreatic and Endocrine Surgery AP\u2010HP Piti\u00e9\u2010Salp\u00eatri\u00e8re Hospital  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"France","family":"Pirenne","sequence":"additional","affiliation":[{"name":"Etablissement Fran\u00e7ais du Sang, INSERM U955 University Paris Est Cr\u00e9teil  Cr\u00e9teil France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Gestion du capital sanguin en pr\u00e9, per et post op\u00e9ratoire et en obst\u00e9trique","author":"Haute Autorit\u00e9 de Sant\u00e9","year":"2022"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002549"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet068"},{"key":"e_1_2_8_5_1","first-page":"192","article-title":"Liberal or restrictive transfusion after cardiac surgery","volume":"373","author":"Plumb JOM","year":"2015","journal-title":"N Engl J Med"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-021-06355-2"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13887"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mds345"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2008.07163.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000496967"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.18187"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13644"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.17360"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.14165"},{"key":"e_1_2_8_15_1","unstructured":"The 2009 National Blood Collection and Utilization Survey Report [Internet]. 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