Bloodless surgery and gynecological patients among Jehovah's Witnesses

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F70883521%3A28150%2F21%3A63531578" target="_blank" >RIV/70883521:28150/21:63531578 - isvavai.cz</a>

Alternative codes found

RIV/61989592:15110/21:73606495

Result on the web

<a href="https://www.cs-gynekologie.cz/en/journals/czech-gynaecology/2021-2-4/bloodless-surgery-and-gynecological-patients-among-jehovah-s-witnesses-127084" target="_blank" >https://www.cs-gynekologie.cz/en/journals/czech-gynaecology/2021-2-4/bloodless-surgery-and-gynecological-patients-among-jehovah-s-witnesses-127084</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.48095/cccg2021110" target="_blank" >10.48095/cccg2021110</a>

Result language

angličtina

Original language name

Bloodless surgery and gynecological patients among Jehovah's Witnesses

Original language description

Objective: The aim of this research is to present our experiences with the surgical treatment of gynecological patients among Jehovah’s Witnesses. Moreover, the medical, moral, and ethical problems in this regard have been highlighted. Methods: 75 Jehovah’s Witnesses patients were operated on for various benign and malignant gynecological diseases between 2007 and 2018. All of these patients were operated on according to the rules of blood-sparing surgery. Results: The operations were assessed according to the diagnosis, mode of surgery, estimated blood loss, and disease outcome. Excessive blood loss did not occur during any of these operations, and the estimated blood loss for the same procedure was 10 to 550 mL. Conclusion: Jehovah’s Witnesses gynecological patients is a group of high-risk patients because they refuse to undergo blood transfusion. Nevertheless, the principles of blood-sparing surgery should be applied to not only Jehovah’s Witnesses patients but also to all patients in general. Even if a blood transfusion is the last resort to solve issues pertaining to excessive blood loss during complicated operations, the said procedure always carries certain risks. Therefore, blood transfusion should be performed only on rare occasions. Jehovah’s Witnesses patients categorically refuse blood transfusion even if it is the only way to save one’s life. Even though the legislation of the Czech Republic deals with this problem, there are other moral and ethical aspects that need to be addressed in this regard.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30214 - Obstetrics and gynaecology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Česká gynekologie

ISSN

1210-7832

e-ISSN

—

Volume of the periodical

86

Issue of the periodical within the volume

2

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

4

Pages from-to

110-113

UT code for WoS article

000659317300005

EID of the result in the Scopus database

2-s2.0-85106735247