Surgical Problems on Patients with Coagulation Defects

Abstract

Surgical experience over a period of three years referring to 40 cases of hemophiliacs, with special reference to rare surgical complications, is presented. Critical evaluation of the postoperative results suggests that two main points should be equally taken into consideration for a successful surgical treatment, a) Hematology-substitution treatment, b) Surgery-local hemostasis. Substitution therapy is adjusted according to the nature and severity of the defect. Full preoperative correction of missing factor to normal levels. A level over 30% should be maintained post-operatively for at least 15 days, particularly in major abdominal surgery. The intensity of substitution treatment must be related to the kind of operation. Regarding Surgery meticulous local hemostasis using fine silk ligatures and atraumatic needle chrome cat-gut, for the gastrointestinal system, preferably with interrupted sutures. Electrocoagulation is avoided. Removal of skin sutures should be delayed, as well as peroral alimentation in gastrointestinal tract Surgery.