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Bloodless Surgery
isaacbowman writes "Dr. Charles Bridges, a Pennsylvania Hospital cardiologist, says says regarding new bloodless surgery options - "Among the benefits are reductions in recovery time, hospital stay, cost and complications -- as well as an estimated $20,000 in savings per patient." Advances in medicine have made this possible and Dr. Bridges also says, "There's no downside to it that we can see, and there's certainly no downside that's been documented." Dr. Patricia Ford, director of Pennsylvania Hospital's Center for Bloodless Medicine & Surgery, further states, why blood transfusions are dangerous, saying that they are "like getting a transplant; they can be risky and should be a last resort.""
I can guarantee you, the only party involved in the process who will see that twenty grand is the insurance industry.
M
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The artices does go ahead and admit that the more complex a procedure, the less likely this is possible: so a full-on heart transplant is far less likely to be bloodless than, say, an appendectomy or a stomach reduction (or other similar surgeries that don't require large incisions).
Jehovah's Witness have a theological objection to blood transfusions, but unlike Christian Scientists, not to medical treatment in general. In fact, they are quite insistent on high quality healthcare.
As such, they advocate the use of blood transfer alternatives.
There are various groups of Witnesses that advocate changing the doctrine, but, however odd it may seem to the rest of us, it's one of core teachings of the church and has survived even when other once-rejected medical technologies (organ transplants, certain immunizations) have now been accepted.
This doctrine has caused the Witnesses to push the medical community to come up with many alternatives to transfusion. These alternatives include Erythropoietin Therapy, Hemopure, a bovine-hemoglobin based blood substitute (this was quite a surprise, as previously even animal blood was considered taboo), perfluorocarbon based blood substitutes (back when I was young, I knew Witnesses who had been guinea pigs for this stuff), and a host of others. There are also specific surgical guidelines published in dealing with Witnesses.
All in all, the Witnesses are one of the main driving forces for research into lessening the need for blood transfusions. There are others to be sure (type matching, blood shortages, infectious diseases carried by tainted blood, etc.), but nothing beats having a large pool of otherwise healthy patients who are highly motivated to be test subjects.
BTW: Jehovah's Witnesses vary in terms of their religious beliefs around transfusion. For some, some components of blood can be transfused, but not others, whereas other patients are more stringent.
As one of Jehovah's Witnesses who has twice faced a serious blood-loss I can tell you how happy I am to see advances like this. Actually as a Witnesses, we give a lot of credit to courageous doctors who took on difficult cases without having the option of transfusing. The issue is actually surprisingly broad -- involving things like informed consent and various patient rights concerns. In regards to blood being a vector for pathogens, this is certainly well known, but our stand is purely religous based (based on the Biblical mandate expressed in Acts 15:29 and elsewhere). In my own case I was so glad to have avoided a transfusion in Canada during the early 80s, just before the AIDs-tainted blood supply issue became known. Canada was behind other countries, such as the US in implementing AIDS/HIV testing to routine blood screening. Ironically, even though I know live in the US, I had an accident while on vacation in Canada in 2001 which required emergency surgery. I can tell you that while I did fine, many hospitals in Canada simply can not afford some the equipment mentioned in the artical.
Yeah that got me for a while too... by bloodless it more means blood-transfusion-less; there is obviously blood involved, but only the patients own.
The revolution will not be televised... but it will have a page on Wikipedia
Every joint procedure (knee or shoulder 'scope) allows the surgeon a better view than the open method,'cause the camera is so small, it can get into many places, that you normally can't even see. Gallbladder surgery now is overnight or same day, as compared to a one to two week stay for the open method.
And yes, I am a surgeon , and I have done both open and closed shoulder repairs, and the 'scope method is waaaaay better. You can see more anatomy, more pathology, less blood loss, and less tissue damage. Trust me, we all need to sleep at night, and want what's best for the patient.
..........FULL STOP.
While the "chop you up and sew you back together" paradigm may seem like it is out of greed on the part of the surgeons, decreasing surgery time does prevent many benefits to the patient as well. Simply having the surgery site open for less time would, in theory, lead to less complications due to blood loss, tissue oxidation and contamination. Surgical anaesthetics are not "good for you" and the less time spent on the table, the lower the risk from complications with these chemicals.
I'll never make that mistake again, reading the experts' opinions. - Feynman