New Surgical Technologies Could Facilitate Surgical Hemostasis in Hemophilic Patients
| Autor: | Violeta I. Dejanova-Ilijevska, Igor V. Fildishevski, Ljubomir Ognjenovic, Milcho J. Panovski |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Haemophilia surgical hemostasis Perioperative outcome advanced bipolar technologies Factor supply Surgical Hemostasis lcsh:Medicine 030230 surgery Thromboembolic prophylaxis 03 medical and health sciences 0302 clinical medicine medicine Perioperative management business.industry lcsh:R General Medicine Clinical Science Surgical procedures medicine.disease Surgery Inguinal hernia 030220 oncology & carcinogenesis Hemostasis Mild haemophilia A Medicine business |
| Zdroj: | Open Access Macedonian Journal of Medical Sciences; Vol 5, No 3 (2017): Jun 15 (OAMJMS); 295-298 Open Access Macedonian Journal of Medical Sciences, Vol 5, Iss 3, Pp 295-298 (2017) Open Access Macedonian Journal of Medical Sciences; Vol. 5 No. 3 (2017): Jun 15 (OAMJMS); 295-298 Open Access Macedonian Journal of Medical Sciences |
| ISSN: | 1857-9655 |
| Popis: | BACKGROUND: It’s assumed that surgery in haemophilia can be accomplished these days safely.AIM: The aim of this study was to investigate the influence of new surgical technologies in the perioperative management and outcome of surgical procedures in haemophiliacs.METHODS: Two patients with mild haemophilia A underwent surgery (laparoscopic appendectomy and inguinal hernia repair). In both patients, the replacement therapy, with factor VIII, started 30 min before surgery. We used the available surgical technologies and techniques with a proven value in the best clinical practice, to achieve proper and permanent hemostasis. Postoperatively, the replacement therapy and thromboembolic prophylaxis was continued according to the international guidelines for the management of haemophilia.RESULTS: The operative and post-operative periods were uneventful. No significant differences were found in the operation time in our hemophilic patients versus non-hemophilic patients. Significant differences related to the hospital stay duration were found in both patients compared with controls, due to the necessary replacement therapy.CONCLUSION: With new surgical technologies, proper and permanent hemostasis can be achieved, without prolonging the operation time. |
| Databáze: | OpenAIRE |
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