Surgery of patients with oral cancer who refuse blood transfusion (Jehovah's Witness)

DOI 3 Citations 8 References
  • Umeda Masahiro
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • Ri Shinsho
    Department of Oral and Maxillofacial Surgery, Kobe Steel Hospital, Kakogawa
  • Ishida Yoshiki
    Department of Oral and Maxillofacial Surgery, Kobe Steel Hospital, Kakogawa
  • Nakagawa Naomi
    Department of Oral and Maxillofacial Surgery, Kobe Steel Hospital, Kakogawa
  • Akashi Masaya
    Department of Oral and Maxillofacial Surgery, Kobe Steel Hospital, Kakogawa
  • Okawa Shuji
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • Nishimatsu Naruki
    Department of Oral and Maxillofacial Surgery, Mitsubishi Kobe Hospital
  • Minamikawa Tsutomu
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • Komori Takahide
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine

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Other Title
  • 輸血拒否患者（エホバの証人）に対する口腔癌手術の経験

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Abstract

Jehovah's Witnesses will refuse a blood transfusion for religious reasons, so there are some problems when an extended surgery is indicated. We present two Jehovah's Witness patients with oral cancer who underwent surgery.<BR>Case 1 was a 64-year-old female with squamous cell carcinoma of the mandibular gingiva (T2N2bM0) .She underwent neck dissection and marginal mandibulectomy. Blood loss was 300 g. Case 2 was a 50-year-old male with squamous cell carcinoma of the tongue (T2N2bM0) . He underwent neck dissection, hemiglossectomy, and reconstruction with major pectoral musculocutaneous flap. Blood loss was 445 g. We exchanged some documents that certified our exemption from obligations with the patients before the operations. Low blood pressure anesthesia was done in each operation. Some other problems on treating Jehovah's Witness patients were discussed.

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