autotransfusionAutotransfusion (Setting aside your blood for surgery)

Blood transfusions in planned plastic and cosmetic surgery by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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If you are having extensive surgery, we can discuss autotransfusion where your own blood can be set aside ahead of the operation. This can only be done in elective cases scheduled with enough time for your body to rebuild its blood supply. Emergency surgery and short scheduled elective surgery does not permit enough regeneration.

You are then given iron and your body partially regenerates the blood before the date of surgery. Your own blood can be used to help to replace the blood and other fluids you will lose during the surgery if necessary. Dr. Bermant used to use autotransfusion much more in the past. Less bloody techniques lessens the odds of needing a transfusion. The body never regenerates the blood completely before the banked blood expires. With stringent transfusion criteria, we cannot always use your blood in cases when blood loss is not extensive. You then start out the operation with a slightly depleted blood supply in your body and since the surgery was not bloody enough, transfusion of even your own blood violates the standards of many surgical centers and hospitals. We have also been told banked blood safety standards have improved over the years. These options are best discussed during our surgical consultation. After surgery has been planned, Dr. Bermant will have a better idea and can design the discussion of risks, benefits, and alternative methods better for your case.

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This page last updated on: February 24, 2012


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