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Thread: First bloodless surgery in Kochi (India)

  1. #1

    First bloodless surgery in Kochi (India)

    (Kochi, formerly Cochin, is a major port city on the west coast of India by the Arabian Sea. Kochi is part of the district of Ernakulam in the state of Kerala.)


    In a first of its kind, doctors at Sunrise Hospital, Kakkanad, here, have successfully performed a bloodless bowel surgery in a patient with profuse bleeding and a very low haemoglobin level of two gm/dl.

    The patient, M.A. Shaji from Kannamaly, referred from another hospital, was diagnosed with enteric fever and bleeding from small intestine.

    Though blood transfusion was necessary to correct haemoglobin and to perform surgery for arresting the bleeding, the patient and relatives have refused any form of blood and blood product infusion as they belonged to Jehovah’s Witnesses.

    However, despite being very risky, the team of doctors decided to do the surgery and could successfully complete it.
    Even in post-operative period, the patient was not given blood or blood products. Later, his haemoglobin level started going up and the bleeding completely stopped.

    The patient was discharged and healthy now with haemoglobin of eight gm/dl. Dr. R. Padmakumar, medical director of the hospital said that the surgery was the rarest of the rare and a surprise in medical history.

    “Not giving blood transfusion or blood products prior, during or after surgery to a patient with such low haemoglobin level has so far been unimaginable in medical profession,” he said.

    The team led by Dr. Padmakumar included Dr. Madhukar Pai, Dr. Sanjeev Thampi, Dr. Sreevalsan, Dr. Sheetal Binu, Dr. Rajeev Jayadevan and Dr. Sooraj.


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  3. #2
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    First bloodless surgery in Kochi (India)

    Very interesting. I noticed doctors were not aware that very low hemoglobin count ( in the 2 gm/dl range ) have had survivors doing well today - without blood or blood products. One in 1997 was H.J. who was transferred to Englewood featured in Time magazine in 1998 and in an Awake, plus online in an article put out by his mother who actually named the other hospital in NJ - which is now part of a larger health center with a BMSP. The original hospital in H.J. case tried to prevent the transfer-even removing him from life-support - for a supposedly bleeding ulcer.
    Just a side note - didn't see any other postings on original India deccanchronicle link posting above- however today I noticed at Deccan Chronicle that the lowest ( 1st -D.H. not sure about Z.D. but he sounds like one too ) poster is an ex JW who was justly turfed and has turned apostate - discounting everything that this web site and similar sites stand for. His comments are haszard ous to your health.
    Last edited by pnutts; 04-27-2012 at 11:32 AM. Reason: clarification

  4. #3
    Managing Editor Jan B. Wade's Avatar
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    Very Low HGB Surgery

    "The patient was discharged and healthy now with haemoglobin of eight gm/dl. Dr. R. Padmakumar, medical director of the hospital said that the surgery was the rarest of the rare and a surprise in medical history.
    “Not giving blood transfusion or blood products prior, during or after surgery to a patient with such low haemoglobin level has so far been unimaginable in medical profession,” he said...
    The patient was discharged and healthy now with haemoglobin of eight gm/dl.
    "

    When the surgeon said "so far been unimaginable in the medical profession" Though 2 hgb is very low, successful emergency surgery at this level is more successful than in the past. This is due to advancements in cell salvage, hemostasis, radio-logical diagnosis etc. By this success the surgeon and his team will be more willing to perform surgery's on elective patients with relatively low hemoglobin. This is how advanced blood management evolved.

    There are a few things I would have wanted to know about this case:

    1) How long did it take for the hemoglobin to fall to such a low level? - This is important to know because a slow drop over many weeks allows the body to accommodate by delivering more oxygen with less hemoglobin
    2) Since this is India what was the patients hemoglobin level before the bleed began? - In the West if a person bleed down to even 7 hgb in a fairly short period of time they would find any physical activity to be taxing. In some lands people suffering from chronic anemia can play soccer with hgb of 7. (See comment number 1)
    3) How long did the patient stay in hospital post op? - The patient was reported with a hemoglobin of eight. How long did it take to reach 8? Was EPO or Iron administered? etc etc etc

    News story's like this often sacrifice data for sensationalism. Too bad.






    Last edited by Jan B. Wade; 04-27-2012 at 05:45 PM.
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