959 Is It Necessary to Repeatedly Check Haemoglobin Following Robotic Assisted Radical Prostatectomy (RARP)?

Abstract

Abstract Aim The primary aim of this study was to examine the necessity for routine post-operative haemoglobin (Hb) checks for patients undergoing RARP. Method Between April 2019 and March 2022, 155 patients underwent RARP. Demographic and clinical variables were collated including blood loss, pre-operative and post-operative Hb checks, need for transfusion and length of stay (LOS). Paired samples t-tests were undertaken to compare mean pre-operative and post-operative Hb results. Results The mean age of patient was 62 years (range 45-79). The mean blood loss was 281.2mls (range 50-1000). There was a statistically significant drop between pre-operative and day 1 post-operative Hb (p<0.001) (15.07 to 12.97) (mean drop of 2.2g/dl). There was not a statistically significant drop between day 1 and day 2 post-operative bloods (p = 0.547) (mean 0.13g/dl). No patient required a blood transfusion. The mean LOS was 2.4 days (range 1-16). Conclusions Blood loss at RARP is low and unlikely of clinical significance. Following a Hb check on post-operative day one, further routine bloods are unnecessary in the absence of a clinical concern.