The problem of bacterial contamination of reinfused blood spilled during surgery for juvenile nasal angiofibroma

The juvenile nasal angiofibroma (JNA) surgeries are very often complicated by massive intraoperative blood loss. In order to compensate it the intraoperative blood reinfusion of autologous erythrocytes from operative field by cell saver is very often used. But the high probability of chronic inflammation of blocked sinuses in patients with JNA raised the question of possible bacterial contamination of reinfused blood. In this context we have carried out the bacterial tests of blood samples of different steps' cell-saver recycling in 11 patients with JNA during 12 surgeries and analized the bacterial status of sinuses in 7 of them. The bacterial contamination was confirmed by the following growth of hemoculture in 11 out of 12 observations. None of our patients was diagnosed with symptoms of generalization of contamination or sepsis in the postoperative period.