We found 5 providers with an interest in bloodless medicine/transfusion-free surgery and who accept United Healthcare Compass HMO near Monroeville, PA.

Dr. Michael S Makaroun, MD
Specializes in Vascular Surgery, Other
400 Oxford Drive; Suite G-65
Monroeville, PA
 

Dr. Michel Makaroun works as a vascular surgeon in Pittsburgh, PA and Monroeville, PA. Patient ratings for Dr. Makaroun average 5.0 stars out of 5. His areas of expertise include bloodless medicine/transfusion-free surgery. He is affiliated with UPMC East, UPMC Shadyside, and UPMC Mercy. He is an in-network provider for United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate, as well as other insurance carriers. Dr. Makaroun obtained his medical school training at American University of Beirut Faculty of Medicine and performed his residency at the University of Pittsburgh Medical Center (UPMC). Dr. Makaroun (or staff) speaks the following foreign languages: Lebanese, Arabic, and French.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Dr. Vincent John Miele Jr., MD
Specializes in Neurosurgery
600 Oxford Drive
Monroeville, PA
 

Dr. Vincent Miele is a neurosurgeon. On average, patients gave him a rating of 5.0 stars out of 5. He has a special interest in bloodless medicine/transfusion-free surgery. Dr. Miele is affiliated with UPMC Shadyside, UPMC Mercy, and UPMC Presbyterian. He accepts United Healthcare Platinum, United Healthcare Compass, United Healthcare Navigate, and more. He graduated from West Virginia University School of Medicine and then he performed his residency at a hospital affiliated with West Virginia University.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Dr. Michael Robert Pagnotto, MD
Specializes in Orthopedics/Orthopedic Surgery
300 Chapel Harbor Drive; Suite 300
Pittsburgh, PA
 

Dr. Michael Pagnotto's medical specialty is orthopedics/orthopedic surgery. He is especially interested in knee surgery, hip surgery, and bloodless medicine/transfusion-free surgery. Dr. Pagnotto is affiliated with UPMC St. Margaret and UPMC Passavant. For his professional training, Dr. Pagnotto completed a residency program at the University of Pittsburgh Medical Center (UPMC). His patients gave him an average rating of 5.0 out of 5 stars. Dr. Pagnotto honors several insurance carriers, including United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Knee Surgery, Hip Surgery

Dr. Marguerite A Bonaventura, MD
Specializes in Surgical Oncology, Other
4075 Monroeville Boulevard; Suite 315
Monroeville, PA
 

Dr. Marguerite Bonaventura is a specialist in surgical oncology (cancer surgery). She works in Pittsburgh, PA, Monroeville, PA, and McKeesport, PA. Patient ratings for Dr. Bonaventura average 5.0 stars out of 5. Areas of expertise for Dr. Bonaventura include breast surgery and bloodless medicine/transfusion-free surgery. Dr. Bonaventura is in-network for several insurance carriers, including United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate. Dr. Bonaventura obtained her medical school training at West Virginia University School of Medicine and performed her residency at the University of Pittsburgh Medical Center (UPMC). She is professionally affiliated with UPMC East, UPMC McKeesport, and Magee-Womens Hospital of UPMC.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Breast Surgery

Dr. Steven Robert Abo, MD
Specializes in Gastroenterology, Other, Internal Medicine
125 Daugherty Drive; Suite 200
Monroeville, PA
 

Dr. Steven Abo's specialty is gastroenterology (digestive system). His clinical interests encompass bloodless medicine/transfusion-free surgery. Patient reviews placed Dr. Abo at an average of 5.0 stars out of 5. He is an in-network provider for United Healthcare Platinum, United Healthcare Compass, United Healthcare Navigate, and more. After attending Albert Einstein College of Medicine of Yeshiva University for medical school, Dr. Abo completed his residency training at a hospital affiliated with Columbia University. His hospital/clinic affiliations include UPMC Presbyterian and Magee-Womens Hospital of UPMC.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

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What is Bloodless Medicine?

For a variety of reasons, some people feel strongly about refusing blood transfusions and blood products. Bloodless medicine is an emerging medical practice that seeks to provide full medical care, including surgery, for these patients without the use of transfusions.

There are many legitimate reasons why a patient might wish to refuse blood products. Perhaps the most well known are the religious beliefs of certain groups, especially Jehovah’s Witnesses. But religious beliefs are not the only reason someone might choose bloodless medicine. Some of these reasons include:

  • Ethical decisions about the limited supply of blood available
  • Patients with rare blood types may not have access to donor blood
  • Fear of receiving the wrong blood type, which can cause a significant allergic reaction
  • Concerns about infectious diseases that could possibly infect the blood supply, such as HIV, Hepatitis B, Epstein-Barr, or Mad Cow Disease

When it comes to surgery, bloodless medicine succeeds by increasing the amount of red blood cells a patient produces before surgery, replacing any lost blood with fluids, carefully managing the patient’s health during surgery, and meticulously controlling blood loss so that as little bleeding as possible occurs.

Preparation begins by increasing the number of red blood cells the patient produces, so that any loss during surgery will not be as harmful. Patients may be instructed to eat iron-rich foods, given iron supplements, or given medications to increase their hemoglobin. The least invasive surgical procedures available will be chosen, as they require tiny incisions.

During surgery, patients are often positioned on a slope with their head lowered, to protect their brain from any blood loss. Their blood pressure may be lowered and their body temperature raised to reduce bleeding. They may be given 100% oxygen to help a reduced number of red blood cells carry sufficient oxygen to their body. Modern surgical tools are used that cauterize any broken blood vessels as soon as they are cut, in order to minimize blood loss.

Sometimes, a technique known as hemodilution is used. A portion of blood is removed from the patient at the beginning of surgery and replaced with fluids, diluting the blood circulating within the body. If bleeding occurs during surgery, the blood lost is this dilute blood, and not as critical. After surgery, the pure blood is replaced. In some cases blood that is lost during surgery can also be collected, cleaned, and returned to the patient.

Not all surgeries can be performed bloodless, but most can, including:

  • Open heart surgery
  • Liver transplants
  • Urinary tract surgery
  • Hysterectomy
  • Hip and knee replacements
  • Brain surgery

Despite all the precautions taken, during any surgery there is the possibility of unexpected hemorrhage. A hemorrhage, or severe episode of bleeding, can be life threatening without the help of transfused blood. Before any surgical procedure, it is important to make a plan with your physicians about what steps you would like them to take, or not take, in case the unexpected happens.