ID Design 2012/DOOEL Skopje, Republic of
Open Access Macedonian Journal of Medical Sciences.
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
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
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: firstname.lastname@example.org
Received: 08-Mar-2017; Revised: 02-Apr-2017; Accepted: 05-Apr-2017; Online
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
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- Panovski MJ
- Fildishevski IV
- Ognjenovic LL
- Dejanova-Ilijevska VI