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자료유형
학술저널
저자정보
Michaela K. O’Connor (University of Kansas School of Medicine Kansas City KS USA) Elisa Emanuelli (Department of Plastic Surgery University of Kansas Medical Center Kansas City KS) Ravi K. Garg (Department of Plastic Surgery University of Kansas Medical Center Kansas City KS USA)
저널정보
대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제44권
발행연도
2022.1
수록면
1 - 5 (5page)
DOI
https://doi.org/10.1186/s40902-022-00338-6

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AbstractBackground: The Watch Tower Society, the main governing organization of the Jehovah’s Witness (JW) faith,introduced the doctrine to refuse blood in 1945 and has been enforcing it since 1961. A member can be expelledfor accepting prohibited blood components. Many reconstructive surgeries place patients at an increased risk forblood loss. There have been attempts at reducing the rate of transfusions in craniofacial surgery, even in patientsnot opposed to it.Presentation: A 15-year-old female patient, who refused blood transfusion due to her faith, presented with a classIII malocclusion, transverse maxillary constriction, and a lateral open bite. Surgery was deferred until the patientreached 18 years of age and had undergone preoperative orthodontics. A two-piece Le Fort I osteotomy wasperformed. Erythropoietin, oral iron, and tranexamic acid were used to minimize intraoperative blood loss.Conclusion: Here we discuss preoperative and intraoperative management strategies to ensure a transfusion-freeenvironment for patients with religious objections to blood transfusions undergoing operations with increasedbleeding risk.

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