The application of a hospital-based presurgical autologous blood depos
it programme to support of radical hysterectomy is described over 4 ye
ars (1991-95), during which 48 patients participated in the autologous
blood programme, and 63 did not to do so. All but one of the autologo
us donors received autologous blood but only two received allogeneic b
lood. Forty-three of the autologous nondonors received no transfusion
and 20 received allogeneic blood. These differences are highly signifi
cant. For the 48 autologous donors, 91% of the blood requested was col
lected, and of that 91% was used, for a 'wastage' rate of 9%. The mean
blood use was significantly greater in the autologous donors. Blood l
oss was not significantly different between the two groups. The data c
onfirm the validity of the autologous blood order schedule of 2 units
for radical hysterectomy.