Quicklink to the 5 Signs for  

Surgical procedures in patients with coagulation disorders.

In patients with untreated coagulation disorders

  • Minor procedures can cause prolonged bleeding.
    This may prolong the procedure, eg, by
    obscuring the operative field or may
    necessitate transfusion.
  • There is an increased risk of recurrent
    postoperative bleeding, leading to patient
    distress and extra demands on staff
    and resources.20


  • Optimum management should include:24
    - A facility equipped with a special coagulation
      laboratory and blood bank.
    - A hematologist proficient in postsurgical care of
      patients with coagulation disorders.
    - A surgeon with experience in operating on
      patients with coagulopathies.
  • After surgery, close follow-up is recommended to
    monitor coagulation factor levels and to
    assess for delayed bleeding complications,
    such as wound breakdown.15
If you suspect a coagulation disorder, investigate the patient’s bleeding history.

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