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Vol. 88. Issue 6.
Pages 358-368 (December 2010)
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Vol. 88. Issue 6.
Pages 358-368 (December 2010)
Review article
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Anaemia, iron, transfusion and therapeutic alternatives. A review from a surgical perspective
Anemia, hierro, transfusión y alternativas terapéuticas. Revisión desde una perspectiva quirúrgica
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Zoilo MadrazoGonzález
Corresponding author
zoiluco@yahoo.es

Corresponding author.
, Arantxa García Barrasa, Antoni Rafecas Renau
Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
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Abstract

Anemia is very common entity or comorbidity in surgical patients. Its management involves a multidisciplinary approach with the aim of optimizing the available therapeutic resources with individualized care for each clinical situation. Rational use of blood transfusions, iron therapy (oral and intravenous), erythropoiesis stimulating agents and other therapeutic alternatives by physicians must achieve maximal benefit with minimal complications for our patients. This review article summarizes the main characteristics of anemia, iron metabolism, erythropoiesis and therapeutic alternatives from a surgical perspective in the light of present knowledge

Keywords:
Complex incisional hernia
Surgical treatment
Double mesh
Resumen

La anemia representa una entidad o comorbilidad extremadamente frecuente dentro de la población de pacientes quirúrgicos. Su manejo implica un abordaje multidisciplinar con el fin de optimizar los recursos terapéuticos disponibles de forma individualizada en cada situación clínica. El uso racional por parte del clínico de transfusiones sanguíneas, ferroterapia (oral y endovenosa), agentes estimuladores de la eritropoyesis y otras alternativas terapéuticas ha de proporcionar el máximo beneficio a nuestros pacientes con las mínimas complicaciones posibles. El presente artículo de revisión resume las principales características de la anemia, metabolismo férrico, eritropoyesis y alternativas terapéuticas desde una perspectiva quirúrgica, a la luz de los conocimientos actuales.

Palabras clave:
Anemia
Hierro
Transfusión
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