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Extracorporeal circulation as a blood conservation technique for extensive pelvic operations.

Abstract：

:Difficult pelvic operations for malignancy or complex benign conditions can be associated with extensive blood loss. Religious beliefs that preclude transfusion and the known risks of homologous blood have prompted investigators to seek alternatives to transfusion. We used the Haemonetics-V50 Cell Separator (Haemonetics Corporation) to provide for extracorporeal circulation of the patient's own blood with associated normovolemic hemodilution as a means of conserving blood during operations. This technique was used in eight patients undergoing extensive pelvic operations. The procedure was accepted by Jehovah's Witnesses and was well tolerated by all patients. Estimated blood loss ranged from 75 to 2,000 milliliters. One instance of mild intraoperative disseminated intravascular coagulation was encountered. Two patients were given homologous transfusions. While clinical judgment is necessary to determine the safety of complicated operations, this technique is useful in expanding surgical options for some patients who object to blood transfusion.

journal_name

J Am Coll Surg

journal_title

Journal of the American College of Surgeons

authors

Kelley JL,Burke TW,Lichtiger B,Dupuis JF

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

397-400

issue

4

eissn

1072-7515

issn

1879-1190

journal_volume

178

pub_type

杂志文章

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