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...Witnesses--a religious community that prohibits transfusions because of biblical references to the sacredness of blood--had refused. Eventually, at the urging of members of her community, and in the face of a hospital threat of a court order to thwart her, Claudette Jackson had Henry transferred to nearby Englewood Hospital's New Jersey Institute for the Advancement of Bloodless Medicine and Surgery...

Author: /time Magazine | Title: BLOODLESS SURGERY | 10/1/1997 | See Source »

...also indications that patients cannot tolerate levels of hemoglobin as high as previously thought and that young people especially have a built-in reserve of blood. These findings, Shander believes, support the need for a more sparing use of blood products. As one of the directors of the Englewood institute, he is convinced that withholding blood is a viable and preferable choice for most patients. It not only benefits many patients but also forces surgeons to pay closer attention to technique and tests their willingness to depart from tradition...

Author: /time Magazine | Title: BLOODLESS SURGERY | 10/1/1997 | See Source »

Still, except for such techniques as radiosurgery, virtually no surgery is completely bloodless. The blood that is shed during operations at places like Englewood may be suctioned out by cell-saving machinery, cleaned and then returned to the patient's body. Red blood cells can also be saved through hemodilution. In this procedure, hemoglobin-rich blood is pumped unit by unit from a vein and replaced by an equal number of units of a nonblood fluid to expand the volume to normal; the patient's own drawn blood is held for use after surgery. In another technique, doctors...

Author: /time Magazine | Title: BLOODLESS SURGERY | 10/1/1997 | See Source »

Since the Englewood program began in 1994, it has performed more than 1,500 bloodless procedures, twice that of any other institution. Most of them have been major operations that usually involve extensive blood loss and transfusions: liver resections, hip replacements, abdominal aortic aneurysms, hysterectomies and brain surgery. "From a medical point of view, there are no technical barriers to performing bloodless surgeries," says Dr. Sharo Raissi, a cardiac surgeon at Brotman Medical Center, one of a dozen hospitals in Los Angeles that offer such services. "There is no limit as to what can be done for patients, from open...

Author: /time Magazine | Title: BLOODLESS SURGERY | 10/1/1997 | See Source »

...especially difficult case that Shander oversaw at Englewood, 11-year-old Cristali Rodriguez came in with a rare pancreatic tumor, one of only 300 documented cases worldwide. Doctors in Philadelphia had declined to perform a Whipple procedure, a complex reconstruction of the digestive tract rarely performed on a child. Rodriguez's parents had refused a blood transfusion, and the girl's doctors felt that without it the operation was even more risky. Undeterred, Englewood surgeons did a 10-hour bloodless Whipple. There were no major complications, and a week later Cristali was eating pizza. Soon after her discharge...

Author: /time Magazine | Title: BLOODLESS SURGERY | 10/1/1997 | See Source »

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