The perioperative period poses a risk for anemia due to the high prevalence of pre-existing anemia secondary to underlying pathologies in patients who are candidates for surgery, and as a result of the increased blood loss caused by surgery. Pre-operative anemia is an independent risk factor associated with higher risk of blood transfusion and negative surgery outcomes. Anemia and iron deficiency (ID), the main causes of pre-operative anemia, can be easily diagnosed with blood testing and are readily treated before elective surgery. However, pre-surgical screening and treatment of anemia and ID are frequently overlooked. These topics were presented and discussed at the symposium entitled “Recovery after Surgery: Don’t Forget to Check Iron Status Before”, held at the 11th Annual Meeting of the European Urogynaecological Association (EUGA) in October 2018 in Milan. The objectives of the symposium were to stress the high prevalence and the consequences of pre-operative anemia, illustrated with three clinical cases of women undergoing surgery, and to choose the best option for iron supplementation. In conclusion, it is essential to take time to diagnose and treat iron deficiency anemia (IDA) before surgery. The first-line treatment is oral iron when surgery can be delayed and when there is no intolerance to oral treatment or inefficient uptake, as in the case of iron sequestration or absorption disorders. Among iron preparations, ferrous sulfate in a polymeric complex (FSPC) was found to be one of the treatments of choice to improve hemoglobin iron stores and quality of life in IDA patients.
Recovery after surgery : do not forget to check iron status before / M. Serati, I. Cetin, S. Athanasiou. - In: INTERNATIONAL JOURNAL OF WOMEN'S HEALTH. - ISSN 1179-1411. - 11(2019 Aug 23), pp. 481-487. ((Intervento presentato al 11. convegno Annual Meeting of the European Urogynaecological Association (EUGA) tenutosi a Milano nel 2018.
|Titolo:||Recovery after surgery : do not forget to check iron status before|
|Parole Chiave:||Elective surgery; EUGA; European urogynaecological association; Ferrous sulfate; Iron deficiency; Tolerability; Urogynecological surgery|
|Settore Scientifico Disciplinare:||Settore MED/40 - Ginecologia e Ostetricia|
Settore MED/18 - Chirurgia Generale
Settore MED/15 - Malattie del Sangue
|Data di pubblicazione:||23-ago-2019|
|Enti collegati al convegno:||European Urogynaecological Association|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.2147/IJWH.S213822|
|Appare nelle tipologie:||01 - Articolo su periodico|