Bone Marrow Transplantation

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How Is Bone Marrow Transplantation Performed? JAMA: How is bone marrow transplantation performed? Thomas: We take the donor to the operating room, and, under sterile conditions, we carry out a series of aspirations of bone marrow from the anterior and posterior iliac crests. It takes about an hour in the operating room and involves more than 100 aspirations. The marrow is like a honeycomb, and one has to keep putting the point of the needle in different places to continue to get marrow. On the average, the volume of marrow aspirated is about 750 mL. We usually take a pint of the donor's blood in advance and reinfuse it during the procedure. As a procedure, it is not too formidable; in fact, I tease my surgical colleagues by saying that this is the one branch of transplantation where one can work without the complication of needing a surgeon. The marrow

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