[CG] Maximum Surgical Blood Ordering Schedule (MSBOS) for Gynaecology

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General Gynaecology

Hysterectomy

G&S

Hysterectomy / BSO

G&S

Oophorectomy

G&S

Laparoscopic hysterectomy

G&S

Myomectomy

G&S

Endometrial ablation

nil

Pelvic floor repair (+/- vaginal hysterectomy)

G&S

Mesh augmented pelvic floor repair

G&S

Sacrospinous fixation

G&S            

Vaginal tape procedures

G&S

Le Fort colpocleisis

G&S

Diagnostic laparoscopy +/- hydrotubation

G&S

Diagnostic laparoscopy + anticipated treatment

G&S

Hysteroscopy +/- biopsy +/- polypectomy

nil

Hysteroscopic resection of fibroid

G&S

Bartholin’s abscess incision/drainage

nil

Fenton’s procedure

nil

LLETZ (large loop excision of transformation zone)

nil

Cone biopsy of cervix

G&S

Vulval biopsy / wide local excision vulval lesion

nil

Vulval warts treatment

nil

Evacuation of uterus

G&S

Evacuation of complete molar pregnancy

2 units

Surgical TOP

G&S

Ectopic pregnancy – stable – laparoscopic or open

G&S

Ectopic pregnancy – unstable/collapsed

2 units

Other

Discuss with consultant

Oncology

Pelvic exenteration         

4 units

Radical hysterectomy

G&S

Hysterectomy with lymph node dissection

G&S

Vulvectomy

G&S

Laparotomy for ovarian cancer

G&S

Clinical discretion

There is a discretionary element to blood ordering based on clinical factors such as preoperative haemoglobin, anticipated difficulty and complications of surgery, fibroid size / number etc. In this event there should be a discussion between the operating surgeon, anaesthetist and haematologist.

Last reviewed: 01 October 2016

Next review: 31 October 2021

Author(s): Claire Higgins

Approved By: Dr R Jamieson