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Bloodless
Surgery
Overview
Methods
Benefits
Spine Institute
Overview
Many people, due to religious or personal convictions, object to receiving
blood or blood products during medical treatment. "Bloodless Surgery" is
a new procedure that incorporates several techniques and steps to help
your body compensate for blood loss before, during and after surgery,
without the use of donor blood. Also, the use of pharmaceutical agents,
intravenous fluids, and improved diagnostic procedures and surgical techniques
can prevent or lessen the anemia associated with surgery and other medical
procedures.
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Methods
Several methods can be used in bloodless surgery with careful planning and
state of the art techniques. Some of these methods are:
Recombinant human erythropoietin, a synthetic
hormone used to stimulate the bone marrow to produce more red blood cells.
Preoperative autologous donation, an
option for selected patients who wish to donate their own blood
prior to certain elective surgeries
Intraoperative surgical techniques and instruments (eg,
ultrasound, gamma knife, argon beam) are available that can improve
hemostasis. The use of these instruments, along with minimally invasive
surgical approaches (eg, laparoscopy, endoscopy, interventional radiological
procedures) can reduce surgical blood loss dramatically.
Intraoperative hemodilution is the practice
of withdrawing whole blood from patients before surgical blood loss
and simultaneously replacing the withdrawn autologous blood with
intravenous fluids. The whole fresh blood is kept in the OR in storage
bags. After surgical bleeding has ended, the whole blood, complete
with all coagulation factors functioning, is retransfused to patients.
Biological products like collagen and cellulose
woven pads stop bleeding by direct application
Perioperative blood salvage includes the
cell saver that recovers and recycles blood lost during surgery by
collecting, cleaning, and returning blood to the patient.nt
in the 1980s.
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Benefits
Reduces danger of infection
and immune suppression May allow for a shorter recovery time and
quicker discharges Prevents cancellations or postponement of surgeries
due to blood shortages Avoids costs associated with laboratory
errors in blood typing
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Spine
Institute
Back surgery potentially involves significant blood loss. The Spine Center
of New York is part of the New York Center for Bloodless Medicine and Surgery,
which is dedicated to providing high quality health care without the use
of donor blood or blood products, for patients who chose to do so during
their medical treatment. We offer vast experience in protocols that enable
patients to undergo surgery without blood transfusions.
The Spine Institute uses this procedure in treating a large Jehovah Witness
population - the world headquarters for Jehovah Witnesses -in the Brooklyn
area. The Bloodless surgery incorporates techniques that include both nerve
sparring and minimal blood losses.
For more information please call The New York Center For Bloodless Medicine
and Surgery at 1-888-299-6625.
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