New Surgical Technologies Could Facilitate Surgical Hemostasis in Hemophilic Patients

Milcho J. Panovski; Igor V. Fildishevski; Ljubomir Lj. Ognjenovic; Violeta I. Dejanova-Ilijevska

doi:10.3889/oamjms.2017.062

Authors

Milcho J. Panovski University Clinic for Digestive Surgery, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje
Igor V. Fildishevski University Clinic for Digestive Surgery, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje
Ljubomir Lj. Ognjenovic University Clinic for Digestive Surgery, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje
Violeta I. Dejanova-Ilijevska National Center for Hemophilia, Republic Institute for Transfusiology, Vodnjanska 17 , Skopje 1109

DOI:

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

Keywords:

Haemophilia, surgical hemostasis, Perioperative outcome, advanced bipolar technologies, Factor supply

Abstract

BACKGROUND: Itâ€™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.

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