Acute hemodilution in an anemic Jehovah's Witness during extensive abdominal wall resection and reconstruction |
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Authors: | P E Grubbs C P Marini A Fleischer |
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Affiliation: | Department of Surgery, Maimonides Medical Center, Brooklyn, NY 11219. |
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Abstract: | 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. |
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