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This is an archive article published on June 4, 2010

Now,donate your blood to yourself

Forty-nine-year-old Dharmesh Shetty was apprehensive about his joint replacement surgery when doctors told him about the significant blood loss during the procedure.

Forty-nine-year-old Dharmesh Shetty was apprehensive about his joint replacement surgery when doctors told him about the significant blood loss during the procedure. “Despite all the precautions,blood loss was inevitable because of the nature of the surgery. But considering the risk of transfusion transmitted diseases, I was not too sure of blood transfusion,” Shetty recounts. But with new technique called ‘autologous transfusion’,what Shetty describes as magical,his worries were taken care of.

Constavac CBC2 is a blood conservation system that stores the blood of the patient lost during the surgery,filters and cleans it,and then transmits it back to the patient. Medically known as ‘autologous transfusion’,this technique has been introduced in Mumbai by the Wockhardt Hospital. According to Dr Milind Patil,orthopedic surgeon at Wockhardt Hospital,“This is a revolutionary mechanism in two senses. Firstly it eliminates the wastage of blood from surgical wounds and secondly,since patients are reusing their blood,the risk of infection and transmission of diseases is absolutely nil.” Hematoma,or the clotting of wounds in and around surgical incisions is also minimized.

Though autologous blood transfusion is possible in any kind of surgery,it is most aptly suited for knee and joint replacement surgeries. “Since the bones are cut,at least 600 ml to a litre of blood comes out of the body. This significant volume of blood loss makes such a method of transfusion very attractive for patients,” says Dr Patil.

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Another patient,Sujoy Gupta,who underwent a knee replacement surgery with autologous blood transfusion recalls it as ‘unbelievably smooth sailing’. “I used to be in constant pain,and I wasn’t sure how the surgery would turn out. But it was all over so fast,without any transfusion related risks. All my problems vanished in one-and-a-half weeks after the surgery.”

Dr SP Ghosh,a surgeon,also chose this method of transfusion for his 25-year-old son’s knee replacement surgery 3 years ago. “My son had met with a severe accident and we did not want to take any further risks. But since this method was not available in Mumbai at that time,we travelled to Calcutta for his surgery. Everything went smoothly. It is great that the surgery has been introduced in Mumbai too.”

While a growing number of doctors are recommending this technique,the costs involved restrict this technique to private hospitals. While a bottle of blood costs Rs 700-800,in this case,the total equipment expenses go up to Rs 4,500,and a patient has to shell out Rs 7,000 at an average.

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