Bloodless Surgery in a Jehovah's Witness Patient with a 12.7-kg Uterine Leiomyosarcoma

Nimesh P. Nagarsheth, Aryeh Shander, Robert Malovany, Jausheng Tzeng, Ibrahim Ibrahim

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Introduction: Bloodless surgery aims to optimize outcomes in patients undergoing surgical procedures who wish to avoid allogeneic transfusion. Using a series of interventions and management strategies related to this goal, patients who were previously considered extremely high risk or inoperable without a blood transfusion can now undergo complex surgical procedures with acceptable outcomes. The techniques of bloodless surgery have been incorporated in order to care for a patient with a large uterine sarcoma with involvement and invasion into adjacent organs. Case: A 52-year-old female Jehovah's Witness patient refusing allogeneic blood transfusion presented to the gynecologic oncology division with a 40-cm pelvic mass and anemia. She was enrolled into the bloodless surgery program at the authors' institution and subsequently underwent surgical resection of a 12.7-kg uterine leiomyosarcoma. Although her intraoperative course was significant for severe anemia with a hemoglobin of 2.5 g/dl and her postoperative course required long-term hospitalization, the patient regained full function to her preoperative performance status. Conclusions: Bloodless surgery in patients with a potential for large-volume intraoperative blood loss requires a well-organized systematic, multidisciplinary approach to achieve the best possible outcome.

Original languageEnglish
Pages (from-to)212-219
Number of pages8
JournalJournal of Surgical Education
Issue number4
StatePublished - Jul 2007


  • Jehovah's Witness
  • Medical Knowledge
  • Patient Care
  • Systems Based Practice
  • anemia
  • bloodless surgery
  • uterine leiomyosarcoma


Dive into the research topics of 'Bloodless Surgery in a Jehovah's Witness Patient with a 12.7-kg Uterine Leiomyosarcoma'. Together they form a unique fingerprint.

Cite this