IP Archives of Cytology and Histopathology Research
Official Publication of Khyati Education and Research Foundation
Official Publication of Khyati Education and Research Foundation
Print ISSN: 2581-5725
Online ISSN: 2456-9267
CODEN : IACHCL
IP Archives of Cytology and Histopathology Research (ACHR) open access, peer-reviewed quarterly journal publishing since 2016 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article more...Case Report
Author Details :
Volume : 7, Issue : 3, Year : 2022
Article Page : 186-188
https://doi.org/10.18231/j.achr.2022.040
Abstract
A young man presented with complaints of right upper quadrant pain for 6 months, past history revealed he is a known case of Haemophilia A, which is a challenge for surgeons and anaesthetist to manage intraoperative and postoperative bleeding, henceforth referred to Haematology, department of pathology. Soon after taking clinical history patient was subjected for haemostatic screening tests such as PT, APTT, mixing studies, inhibitors screening and factor VIII assay revealed patient is a case of several haemophilic with negative for inhibitors and elevated APTT values. Patient is prepared for surgery only after giving Anti haemophilic factor replacement and preoperatively achieving 100% haemostasis by raising Factor VIII assay to 100%. Intra and post operatively patient is constantly monitored for bleeding. Post operatively every 12hrs patient was infused with anti-haemophilic factor variable levels and tapering doses to maintain constant haemostasis as the factor VIII half-life is less than 12 hours. Patient was haemodynamically stable when discharged that is 7 day post-surgery. Thus, we presenting a case how to manage haemophiliacs in a simple way for any kind of surgery with availability of antihemophilic factors and expertise in maintaining the haemostasis as build up confidence among surgeons.
Keywords: AHF, Inherited bleeding disorders, Surgical management and Haemophilia
How to cite : Boddu S R K, S.d M R, Hanagavadi S, Surgical management in a classical haemophilia patient – A rare case report. IP Arch Cytol Histopathol Res 2022;7(3):186-188
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