scholarly journals Evolution of bloodless surgery: A case for bloodless suprapubic prostatectomy

2019 ◽  
Vol 60 (4) ◽  
pp. 169
Author(s):  
ChukwudiOgonnaya Okorie ◽  
LouisL Pisters
Keyword(s):  
Bloodless Surgery ◽  
Suprapubic Prostatectomy

TRIGONAL LOOP-TRACTION IN SUPRAPUBIC PROSTATECTOMY

The Lancet ◽  
1934 ◽  
Vol 224 (5798) ◽  
pp. 809-810
Author(s):  
Norman Lumb
Keyword(s):  
Suprapubic Prostatectomy

SUPRAPUBIC PROSTATECTOMY

1929 ◽  
Vol 22 (2) ◽  
pp. 154-156
Author(s):  
GEORGE R. LIVERMORE
Keyword(s):  
Suprapubic Prostatectomy

Suprapubic Prostatectomy

1956 ◽  
Vol 49 (8) ◽  
pp. 929
Author(s):  
Theodor Hryntschak ◽  
Noble S. R. Maluf
Keyword(s):  
Suprapubic Prostatectomy

Bloodless Surgery in a Jehovah’s Witness Patient with a 12.7-kg Uterine Leiomyosarcoma

2007 ◽  
Vol 64 (4) ◽  
pp. 212-219 ◽  
Author(s):  
Nimesh P. Nagarsheth ◽  
Aryeh Shander ◽  
Robert Malovany ◽  
Jausheng Tzeng ◽  
Ibrahim Ibrahim
Keyword(s):  
Uterine Leiomyosarcoma ◽  
Jehovah’S Witness ◽  
Jehovah's Witness ◽  
Bloodless Surgery ◽  
Witness Patient

Re: Suprapubic Prostatectomy With a Novel Catheter

2007 ◽  
Vol 177 (1) ◽  
pp. 405-405 ◽  
Author(s):  
Giovanni Muto ◽  
Leonardo D’Urso
Keyword(s):  
Suprapubic Prostatectomy

scholarly journals How to approach orthognathic surgery in patients who refuse blood transfusion

2020 ◽  
Vol 47 (5) ◽  
pp. 404-410
Author(s):  
Sang Hwan Lee ◽  
Dong Gyu Kim ◽  
Ho Seong Shin
Keyword(s):  
Blood Transfusion ◽  
Orthognathic Surgery ◽  
Blood Transfusions ◽  
Recombinant Erythropoietin ◽  
Jehovah’S Witnesses ◽  
Jehovah's Witnesses ◽  
Hypotensive Anesthesia ◽  
Normovolemic Hemodilution ◽  
Surgery Center ◽  
Bloodless Surgery

Background Some patients who need surgery refuse a blood transfusion because of their religious beliefs or concerns about blood-borne infections. In recent years, bloodless surgery has been performed successfully in many procedures, and is therefore of increasing interest in orthognathic surgery.Methods Ten Jehovah’s Witnesses who visited our bloodless surgery center for orthognathic surgery participated in this study. To maintain hemoglobin (Hb) levels above 10 g/dL before surgery, recombinant erythropoietin (rEPO) was subcutaneously administered and iron supplements were intravenously administered. During surgery, acute normovolemic hemodilution (ANH) and induced hypotensive anesthesia were used. To elevate the Hb levels to >10 g/dL after surgery, a similar method to the preoperative approach was used.Results The 10 patients comprised three men and seven women. Their average Hb level at the first visit was 11.1 g/dL. With treatment according to our protocol, the average preoperative Hb level rose to 12.01 g/dL, and the average Hb level on postoperative day 1 was 10.01 g/dL. No patients needed a blood transfusion, and all patients were discharged without any complications.Conclusions This study presents a way to manage patients who refuse blood transfusions while undergoing orthognathic surgery. rEPO and iron supplementation were used to maintain Hb levels above 10 g/dL. During surgery, blood loss was minimized by a meticulous procedure and induced hypotensive anesthesia, and intravascular volume was maintained by ANH. Our practical approach to orthognathic surgery for Jehovah’s Witnesses can be applied to the management of all patients who refuse blood transfusions.

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