Acute hemodilution in an anemic Jehovah's Witness during extensive abdominal wall resection and reconstruction

Acute hemodilution in an anemic Jehovah's Witness during extensive abdominal wall resection and reconstruction

A 47-year-old anemic Jehovah's Witness with Gardner's syndrome presented with a large abdominal wall desmoid tumor requiring extensive resection with a musculocutaneous flap reconstruction. At surgery a technique of acute limited normovolemic hemodilution (ALNH) was used to minimize blood...

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Bibliographic Details
Published in:Annals of plastic surgery Vol. 22; no. 5; p. 448
Main Authors: Grubbs, Jr, P E, Marini, C P, Fleischer, A
Format: Journal Article
Language:English
Published: United States 01-05-1989
Subjects:
Abdominal Neoplasms - surgery
Anemia - complications
Blood Transfusion
Christianity
Female
Fibroma - surgery
Hemodilution
Humans
Middle Aged
Religion and Medicine
Surgical Flaps
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Summary:A 47-year-old anemic Jehovah's Witness with Gardner's syndrome presented with a large abdominal wall desmoid tumor requiring extensive resection with a musculocutaneous flap reconstruction. At surgery a technique of acute limited normovolemic hemodilution (ALNH) was used to minimize blood loss and avoid blood transfusions. Complications that follow transfusions of homologous blood are reviewed, and a recommendation is made to use ALNH because of its advantages in those patients in whom significant blood loss is expected.
ISSN:0148-7043
DOI:10.1097/00000637-198905000-00012