title: Acute hemodilution in an anemic Jehovah's Witness during extensive abdominal wall resection and reconstruction.
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.
authors.affiliation: Department of Surgery, Maimonides Medical Center, Brooklyn, NY 11219.
authors.forename: P E
authors.initials: PE
authors.lastname: Grubbs
authors.forename: C P
authors.initials: CP
authors.lastname: Marini
authors.forename: A
authors.initials: A
authors.lastname: Fleischer
mesh_terms: D000008:Abdominal Neoplasms / Q000601:surgery*; D000740:Anemia / Q000150:complications; D001803:Blood Transfusion; D002835:Christianity; D005260:Female; D005350:Fibroma / Q000601:surgery*; D006438:Hemodilution; D006801:Humans; D008875:Middle Aged; D012068:Religion and Medicine; D013524:Surgical Flaps