Surgical Emergencies in Patients with Hemophilia A—What to Expect

Author:

Tanevski Adelina12,Ciuntu Bogdan Mihnea12,Badulescu Oana Viola23,Buescu David Ovidiu12,Zuzu Mihai Marius12,Lutenco Valerii45ORCID,Mihailov Raul45ORCID,Cirdeiu Ciprian12,Vintila Dan12,Lozneanu Lili Gabriela12,Andronic Dan12,Georgescu Stefan Octavian12

Affiliation:

1. Department of General Surgery, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, 16 Universitatii Street, 700115 Iasi, Romania

2. General Surgery Clinic, “St. Spiridon” County Emergency Clinical Hospital, 1 Independence Boulevard, 700111 Iasi, Romania

3. Department of Hematology, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, 16 Universitatii Street, 700115 Iasi, Romania

4. Department of General Surgery, Faculty of Medicine, “Dunarea de Jos” University of Medicine and Pharmacy, 800010 Galati, Romania

5. General Surgery Clinic, “St. Apostol Andrei” County Emergency Clinical Hospital, Strada Brăilei 177, 800578 Galati, Romania

Abstract

Surgical emergencies in patients with hemophilia A represent a major risk of mortality without proper multidisciplinary management and require prompt and effective treatment to prevent complications and improve patient outcomes. We present a short number of cases that were hospitalized in the I–II Surgery Clinic of the Emergency County Hospital “St. Spiridon” from Iasi, Romania, with hemophilia A requiring surgical emergencies. The timing of surgical intervention is very important, so the indication for surgical intervention must be made judiciously and without delay. Consequently, it is vital to ensure access to hemostatic support so surgery can be performed on these patients, ultimately saving their lives.

Publisher

MDPI AG

Reference19 articles.

1. Guidelines for the management of hemophilia;Srivastava;Haemophilia,2013

2. Definitions in hemophilia: Communication from the SSC of the ISTH;Blanchette;J. Thromb. Haemost.,2014

3. Men with severe hemophilia in the United States: Birth cohort analysis of a large national database;Mazepa;Blood,2016

4. WFH guidelines for the management of hemophilia, 3rd edition;Srivastava;Haemophilia,2020

5. Krassova, S., Seremetis, S., and Solimeno, L.P. (2015). Major and Minor Surgery in Haemophilia: A Literature Review of Definitions, European Haemophilia Consortium.

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