Surgical procedures in patients with Glanzmann's thrombasthenia

Autor: Aby Abraham, Alok Srivastava, Punit Jain, Fouzia N. Abubacker, Anu Korula, Biju George, Vikram Mathews, Joy John Mammen, Auro Viswabandya, Abhijeet Ganapule
Rok vydání: 2017
Předmět:
Zdroj: Blood Coagulation & Fibrinolysis. 28:171-175
ISSN: 0957-5235
Popis: Glanzmann's thrombasthenia is a rare platelet function disorder with an autosomal recessive pattern of inheritance. Achieving haemostasis in such patients who undergo surgical procedures always poses a significant challenge. Herein we report six cases of Glanzmann's thrombasthenia, who underwent nine surgeries under the cover of platelet-rich concentrates with or without recombinant activated factor VII . Of these, five were major surgeries such as thyroidectomy, laparotomy, Hartmann's procedure, reversal of Hartmann's procedure and a complete dental extraction. All five procedures were successfully done without any major bleeding. The major cost incurred in these procedures is due to the large number of blood products used and recombinant activated factor VII if used.
Databáze: OpenAIRE