{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:07:46Z","timestamp":1773043666951,"version":"3.50.1"},"reference-count":17,"publisher":"Royal College of Surgeons of England","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2018,4]]},"abstract":"Introduction<\/jats:title> Studies show that rates of blood transfusion associated with general surgical laparoscopy are low. Currently, there are no national guidelines in the UK regarding blood group and antibody screening (G&S) for patients undergoing emergency laparoscopy. The aim of this study was to assess whether using G&S before emergency laparoscopic general surgery routinely is worthwhile by identifying rates of perioperative transfusion. <\/jats:p><\/jats:sec>Methods<\/jats:title> Data were collected retrospectively on all emergency laparoscopic procedures at a single district general hospital between January 2014 and 31 December 2016. Emergency laparoscopic general surgical cases were included and gynaecological cases excluded. Records were reviewed to ascertain whether G&S was performed, whether antibodies were detected and whether patients were transfused. <\/jats:p><\/jats:sec>Results<\/jats:title> A total of 562 emergency laparoscopic cases were performed. The median age was 28 years (range: 6\u201395 years). Laparoscopic appendicectomy (n=446), diagnostic laparoscopy (n=47) and laparoscopic cholecystectomy (n=25) were the most common procedures. Of the total patient cohort, 514 (91.5%) and 349 (70.1%) had a first and second G&S respectively while 30 (5.3%) had no G&S. Four patients (0.71%) had antibodies detected. One patient (0.18%) received a transfusion. This patient had undergone laparoscopic repair of a perforated duodenal ulcer and there was no major intraoperative haemorrhage but he was transfused perioperatively for chronic anaemia. <\/jats:p><\/jats:sec>Conclusions<\/jats:title> These results demonstrate a low rate of blood transfusion in emergency laparoscopic general surgery. The majority of these patients had a low risk of major intraoperative haemorrhage and we therefore argue that G&S was not warranted. We propose a more targeted approach to the requirement for preoperative G&S and the use of O negative blood in the event of acute haemorrhage from major vessel injury. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2018.0033","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T10:18:30Z","timestamp":1519726710000},"page":"322-325","source":"Crossref","is-referenced-by-count":17,"title":["Routine blood group and antibody screening prior to emergency laparoscopy"],"prefix":"10.1308","volume":"100","author":[{"given":"J","family":"Barrett-Lee","sequence":"first","affiliation":[{"name":"Dudley Group NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Vatish","sequence":"additional","affiliation":[{"name":"Dudley Group NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Vazirian-Zadeh","sequence":"additional","affiliation":[{"name":"Dudley Group NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Waterland","sequence":"additional","affiliation":[{"name":"Dudley Group NHS Foundation Trust, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00187-V"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900925"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.4293\/108680810X12924466007241"},{"key":"bib4","volume-title":"Routine Preoperative Tests for Elective Surgery","author":"National Institute for Health and Care Excellence","year":"2016"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000588"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.17479\/jacs.2017.7.1.15"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2005.05.008"},{"key":"bib8","first-page":"673","volume":"82","author":"Hurd WW","year":"1993","journal-title":"Obstet Gynecol"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)80783-2"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9315-8"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0060-4"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-197507000-00001"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)42072-8"},{"key":"bib14","unstructured":"Chamberlain GV, Brown JC. 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