Complex Pancreatic Ressections With Vascular Involvement in Jehovah's Witnesses: How to Approach?

Fernandes, Eduardo de Souza Martins; Fiúza, Stéfano do Amaral; Mello, Felipe Pedreira Tavares de; Pimentel, Leandro Savattone; Souza, Antônio Augusto Peixoto de; Andrade, Ronaldo

doi:10.1590/0102-6720201600040019

Cited by 1 publication

(1 citation statement)

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“…Fernandes describes this strategy in their presented case of complex pancreatic resection with vascular involvement in Jehovah's Witnesses. 20 Intraoperative surgical strategies include the use of electrosurgery and harmonic scalpel devices to help with meticulous hemostasis, direct compression to achieve hemostasis, the application of hemostatic agents like fibrin glues, gelatin-based sealants, and human fibrinogen packs, and the application of hemostatic agents. Electrosurgery and a harmonic scalpel were used for hemostasis in our presented case by our experienced surgical team.…”

Section: Discussionmentioning

confidence: 99%

Major abdominal surgery for Jehovah’s Witnesses: Challenge while practicing bloodless medicine in a middle income country

Gavrilovska-Brzanov,

Gjambaz,

Naumovski

et al. 2023

SAGE Open Medical Case Reports

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We present a 59-year-old female Jehovah’s Witness patient transferred from another facility to our tertiary center as an emergency case owing to anemia due to gastrointestinal bleeding. A computed tomography scan and gastroscopy confirmed an invasion of the duodenum by a malignant process. The patient underwent a Whipple procedure and a right hemicolectomy refusing blood transfusion. On the 17th postoperative day, the patient was discharged following a successful surgery. This article’s objectives are to first highlight the moral and ethical quandary and then share our surgical experiences with this particular patient population. In conclusion, Jehovah’s Witnesses’ management of major abdominal surgery poses considerable clinical, moral, and legal difficulties. Despite them, doctors must put the patients’ needs first while also honoring their religious convictions. However, urgent situations continue to arise, forcing medical professionals to weigh their religious convictions against the need to save a patient’s life.

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Section: Discussionmentioning

confidence: 99%