TÉCNICAS HEMOTERÁPICAS EM CIRURGIA RENAL PERCUTÂNEA EM PACIENTE TESTEMUNHA DE JEOVÁ UTILIZATION OF HEMOTHERAPIC TECHNIQUES IN PERCUTANEOUS RENAL SURGERY IN JEHOVA'S WITNESS PATIENT

ABSTRACTJehova’s witeness patients deny to receive heterologous blood transfusion even under life risk. They also neither agree withauto transfusion when the their own blood is stored days or weeks before surgery procedures. Percutaneous renal surgery canhave complications and, among them, intense hemorrhage that can demand for open surgery. The authors report a case of a32 year old patient with complete coralliform lithiasis in the right kidney who was submitted to percutaneous renal surgery wit hremoving 400 ml of total blood accompanied subsequently of hemodilution and blood reinfusion by the end of the procedure.A Compact Advanced from Dideco, an italian company, was used for blood recovering during surgery and reinfusing it afterthe filtration process, centrifugation and washing of red globules. In this particular, the authors describe a technical adapti onfor blood collection. Both procedures are accepted by Jehova’s witness patients, once that the blood is not stored and there iscontact with your veined system. This article aim to show a blood capture technical variant in the percutaneous renal surgery,as well as to present a method in similar procedures, once that is not used routinely in urological surgeries ( Rev. Col. Bras. Cir.2005; 32(5): 350-352).Key words: Autohemotherapy; Hemodilution; Kidney/surgery; Lithiasis; Jehovah’s witnesses.