Right lobe living-related liver transplantation in a Jehovah's Witness

Safety and feasibility of elective liver resection in adult Jehovah's Witnesses: the Henri Mondor Hospital experience

“…34 Low central venous pressure was used for all patients and was mentioned in most of the reported patients. 1,[4][5][6][7][8] The efficiency of this technique has been extensively reported and does not need further comment. 35 Furthermore, clamping the inferior vena cava below the liver i) can decrease blood loss when central venous pressure <5 mmHg cannot be achieved, 36 and ii) more importantly, was shown in a recent controlled study to be even more efficacious for controlling bleeding during hepatectomy when combined with the Pringle maneuver than combined low central venous pressure and Pringle maneuver.…”

“…Despite tremendous progress in the perioperative management of liver resection, reports of this procedure in JW patients remain scarce; all the existing studies are case reports and small case series. [1][2][3][4][5][6][7][8][9] Yet, blood transfusion rate remains far from zero, even in the most recent period (3.7% and 7.6% for minor and major resections respectively. 10 The aim of the present study was to report the Henri Mondor experience with liver resection in JWs and analyze it in terms of optimal management, feasibility and safety in light of current knowledge obtained through a systematic review of published studies.…”

Review of abdominal solid organ transplantation in Jehovah’s Witness patients

“…Living related liver transplantation has also been performed where donor and recipient were both JW. In one such case, splenic embolisation, RhEpo, iron, cell salvage and aprotinin were used[32]. In another case, the recipient hepatectomy was performed in two stages due to a hypertrophied, enlarged left lobe of the liver, which was excised 2 wk after receiving the liver transplant[33].…”