P-018 ABDOMINAL WALL REPAIR IN JEHOVA´S WITNESSES. PRE, INTRA AND POSTOPERATIVE MANAGEMENT

Abstract Aim Abdominal Wall Repair (AWR) is a surgical procedure with risk of bleeding during and after its performance. Patients who reject blood transfusion require strategies to avoid or increase the margin indication for transfusion. Materials methods We analyzed Jehovah's Witnesses patients underwent AWR in our hospital perioperative management aiming prevent fatal anemia allow performance surgery this group patients. Results present three undergoing multirecurrent midline incisional hernias. All them attended hematology consultation prior improve their situation at time surgery. During surgery, hemostatic material was used areas subsequent bleeding. received iron and, discharge, dose erythropoietin if needed. Patient characteristics are presented table. No requiring other complications occurred. Follow-up outpatient clinics showed correct evolution. Conclusions Multidisciplinary care particular attention condition refusal makes complex abdominal wall feasible safer.