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18.0    Appendix: Maximum Surgical Blood Ordering Schedule (MSBOS)

 

 

 

Operation

Units

 

Operation

Units

 

Operation

Units

GENERAL SURGERY

 

GYNAECOLOGICAL SURGERY

 

UROLOGICAL SURGERY

Abdomino-peritoneal resection

2

 

Caesarean

G&H

 

Cystoscopy/otomy

NIL

Amputation below knee

G&H

 

Colposuspension

G&H

 

Cystectomy

4

Amputation above knee

G&H

 

Cone Biopsy

NIL

 

Nephrectomy

G&H

Anterior resection

2

 

D & C

NIL

 

Nephrolithotomy

G&H

Appendicectomy

NIL

 

Ectopic

G&H

 

Prostatectomy (open)

2

Apronectomy/lipectomy

G&H

 

Hysterectomy

G&H

 

Pyelolithotomy

G&H

Bowel resection

2

 

Laparoscopy

NIL

 

TUR-P

G&H

Breast lumpectomy

G&H

 

Myomectomy

G&H

 

Ureterolithotomy

G&H

Simple Mastectomy

G&H

 

Ovarian cystectomy

G&H

 

 

 

Radical Mastectomy

G&H

 

Termination of pregnancy

G&H

 

VASCULAR SURGERY

Burns debridement

Indiv

 

Tubal ligation

NIL

 

Aortic Aneurysm - elective

4

Cholecystectomy

G&H

 

Vaginal repair

G&H

 

Aorto-femoral bypass

4

Colectomy

G&H

 

Vulvectomy

G&H

 

Aorto-iliac bypass

4

Gastrectomy

2

 

 

 

 

AV shunt

NIL

Gastric stapling

G&H

 

ORTHOPAEDIC SURGERY

 

Carotid endarterectomy

G&H

Haemorrhoidectomy

NIL

 

Arthroscopy

NIL

 

Femoro-popliteal bypass

2

Hiatus Hernia repair - thoracic

2

 

Arthrotomy

NIL

 

Ilio-femoral bypass

4

Femoral nail removal

NIL

Sympathectomy (lumbar)

G&H

Hiatus hernia repair abdominal

G&H

 

Fracture femur

2

 

 

 

Harrington rods

4

Incisional hernia repair

NIL

 

Hip replacement

3

 

 

 

Laparotomy

G&H

 

Knee replacement

G&H

 

 

 

Pancreatectomy

2

 

Laminectomy

G&H

 

 

 

Parotidectomy

G&H

 

Menisectomy

NIL

 

 

 

Splenectomy

2

 

Putti-platt

G&H

 

 

 

Thyroidectomy

G&H

 

Spinal fusion

2

 

 

 

Vagotomy & drainage

G&H

 

Synovectomy (knee)

G&H

 

 

 

Varicose vein stripping

NIL

 

 

 

 

 

 

Ethmoidectomy

NIL

 

THORACIC SURGERY

 

 

 

Mastoidectomy

G&H

 

Lobectomy

2

 

 

Rhinoplasty

G&H

 

Pleurectomy

2

 

 

Tonsillectomy

G&H

 

Pneumonectomy

4

 

Ref: Australian & New Zealand Society

Tracheostomy

G&H

 

Thymectomy

2

 

for Blood Transfusion MSBOS Guideline

 

 

 

The MSBOS is a general guide each hospital unit should determine their usual blood requirement for each operation.

 

The MSBOS will be used by Blood Bank to determine blood requirements for surgery unless the reasons for alteration are on the request form.

 

G&H = Blood Group & Hold serum

NIL  = No grouping or crossmatch required