05-08-2005, 05:45 PM
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Laparoscopic nephron-sparing surgery in a Jehovah's Witness patient
Source:
J Endourol. 2004 Feb;18(1):59-62.
Link:
http://www.liebertonline.com/doi/abs...95?cookieSet=1
Laparoscopic nephron-sparing surgery in a Jehovah's Witness patient.
Yohannes P, Rao M, Burjonrappa S, Sudan R.
Department of Surgery, Creighton University, Omaha, Nebraska 68131, USA. Pyohannes@hotmail.com
An obese 76-year-old woman with type II diabetes, hypertension, coronary artery disease, and gastroesophageal reflux was found to have a 6-cm lower-pole mass in a solitary functional right kidney. Because her religious beliefs prohibited blood transfusion, minimally invasive surgery--a laparoscopic partial nephrectomy--was performed, with a good result. Minimally invasive surgery, perhaps with administration of erythropoietin, iron-dextran, or both, is often a good option for severely anemic patients or those whose religious beliefs are opposed to transfusion. Methods of minimizing blood loss intraoperatively are reviewed.
Publication Types: PMID: 15006056 [PubMed - indexed for MEDLINE
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