Major surgery (radical cystectomy with urethrectomy) in a patient with von Willebrand's disease type I. Reliability and limits of hemocoagulative tests.
Minerva Urol Nefrol
; 50(4): 247-51, 1998 Dec.
Article
in En
| MEDLINE
| ID: mdl-9973811
ABSTRACT
Patients with bleeding disorders frequently need medical or surgical care. The case is reported of a man with von Willebrand's disease type I undergoing radical cystectomy with urethrectomy for multicentric bladder cancer with neoplastic involvement of prostatic urethra, who developed serious bleeding complications which can not be predicted with conventional coagulation in laboratory. The use of the thromboelastograph (TEG) in the critical postoperative period was decisive. The tracing alterations allowed to assess the clotting disorder, constantly counterbalancing the baseline deficit and the blood loss.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prostatic Neoplasms
/
Urethra
/
Von Willebrand Diseases
/
Urinary Bladder Neoplasms
/
Blood Coagulation Tests
/
Cystectomy
Type of study:
Prognostic_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Minerva Urol Nefrol
Journal subject:
NEFROLOGIA
/
UROLOGIA
Year:
1998
Document type:
Article