Hip Joint Surgery without Transfusion in Patients Who Were Jehovah's Witnesses -A Report of Two Cases-

Taek-Rim Yoon; Kyung-Soon Park; Chan-Hee Park; Hyeong-Won Park

doi:10.5371/jkhs.2010.22.4.323

Journal List > J Korean Hip Soc > v.22(4) > 1048698

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Yoon, Park, Park, and Park: Hip Joint Surgery without Transfusion in Patients Who Were Jehovah's Witnesses -A Report of Two Cases-

Case Report

The Journal of the Korean Hip Society

The Journal of the Korean Hip Society 2010; 22(4): 323-326.

Published online: 31 December 2010

DOI: https://doi.org/10.5371/jkhs.2010.22.4.323

Hip Joint Surgery without Transfusion in Patients Who Were Jehovah's Witnesses -A Report of Two Cases-

Taek-Rim Yoon, MD, Kyung-Soon Park, MD, Chan-Hee Park, MD, Hyeong-Won Park, MD

Department of Orthopedic Surgery, Chonnam National University School of Medicine, Chonnam National University Hwasun Hospital, Jeonnam, Korea.

Address reprint request to Kyung-Soon Park, MD. Center for Joint Disease, Chonnam National University Hwasun Hospital, 160 Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeonnam 519-809, Korea. TEL: +82-61-379-7676, FAX: +82-61-379-7681, chiasma@hanmail.net

Received 21 September 2010 Revised 30 November 2010 Accepted 1 December 2010

Abstract

Jehovah's Witnesses are widely known for their prohibition for accepting blood transfusion. Because of the firm refusal to receive transfused blood and blood components by Jehovah's Witnesses, the management of Jehovah's Witness patients with severe bleeding is often complicated by medical, ethical and legal concerns. We report here on two cases of successful treatment of Jehovah's Witnesses who underwent total hip replacement for secondary osteoarthritis and Chiari osteotomy for acetabular dysplasia.

Keywords: Hip joint surgery, Bloodless operation, Jehovah's Witnesses

Figures and Tables

Table 1

Summary of Patients of Jehovah's Witnesses Who Underwent Chiari Osteotomy and Total Hip Arthroplasty

^*Recombinant Human Erythropoietin, ^†Postoperative Day

References

1. Copley LA, Richards BS, Safavi FZ, Newton PO. Hemodilution as a method to reduce transfusion requirements in adolescent spine fusion surgery. Spine. 1999. 24:219–222.

2. Dixon JL, Smalley MG. Jehovah's Witnesses. The surgical/ethical challenge. JAMA. 1981. 246:2471–2472.

3. DiPasquale T, Greiwe RM, Simmons P, et al. Temporary partial intra-iliac balloon occlusion for the treatment of acetabulum fracture in a Jehovah's Witness: a case report. J Orthop Trauma. 2005. 19:415–419.

4. Eubanks JD. Antifibrinolytics in major orthopaedic surgery. J Am Acad Orthop Surg. 2010. 18:132–138.

5. Shaw AD, Stafford-Smith M, White WD, et al. The effect of aprotinin on outcome after coronary-artery bypass grafting. N Engl J Med. 2008. 358:784–793.

6. Ball AM, Winstead PS. Recombinant human erythropoietin therapy in critically ill Jehovah's Witnesses. Pharmacotherapy. 2008. 28:1383–1390.

7. Kawahara Y, Kitamura M, Kunishima Y. Hemodilutional autologous blood transfusion and the roles of medical technologists as specialists of the blood transfusion. Rinsho Byori. 2009. 57:113–117.

8. Nash MJ, Cohen H. Management of Jehovah's Witness patients with haematological problems. Blood Rev. 2004. 18:211–217.

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