bloodless surgery


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bloodless surgery

Surgery performed without use (or with minimal use) of allogeneic transfusions and favouring pre-donation of blood from a patient for autologous transfusion during surgery, if needed. Bloodless surgery is of particular interest in the surgical management of Jehovah’s Witnesses who refuse blood transfusions on religious grounds, in whom severe intraoperative anaemia is the norm, but survivable.

Bloodless procedures
Cardiac catheterisation (laser and balloon angioplasty, radiofrequency ablation), atherectomy, imaging, haemodynamic evaluation, minimally invasive surgery (laparoscopy, lithotripsy, radiosurgery, stereotactic surgery), or other methods (e.g., pulse oximetry) that minimise the loss of blood.
 
Blood salvage manoeuvres
Preoperative autologous donation, intraoperative blood salvage, intraoperative haemodilution, volume expanders and other blood-conservation techniques, laser coagulators, exogenous erythropoietin.
References in periodicals archive ?
Bloodless surgery, though, provides a more beneficial and less risky alternative.
Bloodless surgery incorporates a few innovative surgical instruments and techniques to keep a patient's blood from being lost intra-operatively.
Naturally, though, a certain degree of blood loss is inevitable in any procedure, so bloodless surgery in many cases employs an advanced intraoperative cell salvage machine, commonly called a "cell-saver.
The University Hospital offers a wide range of specialty services, including northern New JerseyeIUs only Level 1 Trauma Center (incorporating a trauma-intensive care unit and the NorthSTAR helicopter emergency and critical care transport system), the Acute Stroke Center, the New Jersey Cardiovascular Institute (NJCI), the neurosurgical intensive care unit and a special Brain Tumor Program, the Neurological Institute of New Jersey, The University Center for Bloodless Surgery and Medicine, and New JerseyeIUs first Liver Transplant Program.
The doctors comment, "When using the tissue bonding technology it allows the surgeon to perform almost bloodless surgery in less time without destruction of tissue through necrosis and results in faster healing of the patient without leaving foreign matter in the patient.
Many bloodless surgery centers are now using large volumes of plasma expanders and cell saver devices to enable surgical patients to avoid transfusions.