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ID Design 2012/DOOEL Skopje, Republic of Macedonia

Open Access Macedonian Journal of Medical Sciences.

https://doi.org/10.3889/oamjms.2017.062

eISSN: 1857-9655

Clinical Science

 

 

 

New Surgical Technologies Could Facilitate Surgical Hemostasis in Hemophilic Patients


 

Milcho J. Panovski1*, Igor V. Fildishevski1, Ljubomir Lj. Ognjenovic1, Violeta I. Dejanova-Ilijevska2


1University Clinic for Digestive Surgery, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia; 2National Center for Hemophilia, Republic Institute for Transfusiology, Vodnjanska 17 , Skopje 1109, Republic of Macedonia

 

Abstract

 

 

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.

..................

Citation: Panovski MJ, Fildishevski IV, Ognjenovic LL, Dejanova-Ilijevska VI. New Surgical Technologies Could Facilitate Surgical Hemostasis in Hemophilic Patients. Open Access Maced J Med Sci. https://doi.org/10.3889/oamjms.2017.062
Keywords: Haemophilia; surgical hemostasis; Perioperative outcome; advanced bipolar technologies; Factor supply.
*Correspondence: Milcho J. Panovski. University Clinic for Digestive Surgery, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia. E-mail: milco@drpanovski.com.mk
Received: 08-Mar-2017; Revised: 02-Apr-2017; Accepted: 05-Apr-2017; Online first: 25-May-2017
Copyright: 2017 Milcho J. Panovski, Igor V. Fildishevski, Ljubomir Lj. Ognjenovic, Violeta I. Dejanova-Ilijevska.  This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
Funding: This research did not receive any financial support.
Competing Interests: The authors have declared that no competing interests exist.
 

 

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- Panovski MJ
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- Ognjenovic LL
- Dejanova-Ilijevska VI


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- Fildishevski IV
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- Dejanova-Ilijevska VI

 

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Published by: Id Design 2012/DOOEL Skopje, Republic of Macedonia


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.