a About us a a
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buton Transplant Surgery
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buton Liver Surgery
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buton Pancreas Surgery
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buton Gall bladder & Bile Duct Surgery
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buton Bloodless Surgery
 
Dr Ravi Shankar Dr. Ravishankar
Liver & Transplant Surgeon

Cell: 0065-91817293
Ph: +65-64790608
24hr Svc : +65-65358833
Fax : +65 64797608

Email: diddapur@yahoo.com.sg
www.liversurgery.com.sg

Specialist Surgery Singapore Pte Ltd
#02-35, Gleneagles Hospital
6 Napier Road, SINGAPORE 258500
   
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Bloodless Surgery
Blood can be lifesaving during surgery, however, blood transfusions have a risk associated with their use that should be appreciated. The practice of surgery where all precautions are taken to avoid or minimize blood transfusions is also called as bloodless surgery. This is gaining attention due to the risks associated with blood transfusions.
Some of the potential risks of blood transfusions are
 
Transmission of viral and other infections:The precautions and safety measures taken to ensure a safe blood supply, has markedly reduced the possibility of transmitting viruses such as HIV and hepatitis through blood transfusions, however, this risk cannot be completely eliminated.
Allergic reactions: Though uncommon, this may occur.
Effects on postoperative recovery: Patients who do not require blood products may recover faster, avoid potential side effects such as fever and allergic reactions and usually have a shorter hospital stay.
Impact on survival after cancer surgery: A number of studies have suggested that blood transfusions may have an adverse effect on outcome in patients who undergo surgery for cancer. For example the survival is poorer in patients with colon cancer who require a blood transfusion compared to no transfusion.
 
Techniques to minimize blood transfusions during surgery:
  Various alternatives to blood transfusions have been made possible through advances in medical and surgical techniques and technology.

Blood loss can be minimized through:
 
Performing a careful and meticulous surgery with control of the blood supply to the structures being removed.
Utilizing intraoperative hypotensive anesthesia to lower blood pressure during surgery minimizing bleeding.
Enhancing circulation of the patient's own blood during surgery by using volume expanders or intravenous fluids.
Tracking oxygen levels during surgery with skin monitors.
Speeding blood clotting during surgery with an argon beam coagulator.
Stimulating bone marrow to produce red blood cells in advance of a procedure.
Using cell saver during surgery to collect, recirculate and re administer the patient's own blood.
Using lasers rather than scalpels.
   
What is Endocrine surgery? What is it done for?
 
Liver resections
Bile duct resection
Whipple operation
Distal pancreatectomy
Central pancreatectomy
Surgery for islet cell tumors
Surgery for Neuro-endocrine tumors
Various other Pancreatic surgeries
   
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