BACKGROUND: The aim of the current study was to investigate perioperative management and outcome of surgery in hemophiliacs. METHODS: Fifty-five hemophiliacs underwent surgery (appendectomy, cholecystectomy, inguinal hernia repair, hemorrhoidectomy). Surgical procedures in hemophiliacs and matched pairs were analyzed for duration of surgery, drainages, hospital stay, factor use (VIII, IX), and complications. Factor substitution was analyzed. Mann-Whitney U and Kruskal-Wallis tests were used (P < .05). RESULTS: No significant differences were found for duration of drains and operation time in hemophiliacs versus matched pairs. Significance for duration of hospital stay compared with controls was found in hemophiliacs for appendectomy, inguinal hernia repair, and hemorrhoidectomy but not for cholecystectomy. In both groups, complications were low without significant differences. CONCLUSIONS: This study found no significant differences in perioperative data and postoperative outcome in hemophiliacs compared with nonhemophiliacs due to the excellent perioperative interdisciplinary management at our Hemophilia Center with prolonged hospital stay in hemophiliacs. Copyright 2010 Elsevier Inc. All rights reserved.
BACKGROUND: The aim of the current study was to investigate perioperative management and outcome of surgery in hemophiliacs. METHODS: Fifty-five hemophiliacs underwent surgery (appendectomy, cholecystectomy, inguinal hernia repair, hemorrhoidectomy). Surgical procedures in hemophiliacs and matched pairs were analyzed for duration of surgery, drainages, hospital stay, factor use (VIII, IX), and complications. Factor substitution was analyzed. Mann-Whitney U and Kruskal-Wallis tests were used (P < .05). RESULTS: No significant differences were found for duration of drains and operation time in hemophiliacs versus matched pairs. Significance for duration of hospital stay compared with controls was found in hemophiliacs for appendectomy, inguinal hernia repair, and hemorrhoidectomy but not for cholecystectomy. In both groups, complications were low without significant differences. CONCLUSIONS: This study found no significant differences in perioperative data and postoperative outcome in hemophiliacs compared with nonhemophiliacs due to the excellent perioperative interdisciplinary management at our Hemophilia Center with prolonged hospital stay in hemophiliacs. Copyright 2010 Elsevier Inc. All rights reserved.
Authors: Sebastian Rogenhofer; Stefan Hauser; Anne Breuer; Guido Fechner; Stefan C Mueller; Johannes Oldenburg; Georg Goldmann Journal: World J Urol Date: 2012-11-21 Impact factor: 4.226
Authors: Philipp Lingohr; Safia Bensoukehal; Hanno Matthaei; Jonas Dohmen; Jennifer Nadal; Tim Oliver Vilz; Arne Koscielny; Johannes Oldenburg; Jörg Christoph Kalff; Georg Goldmann Journal: Langenbecks Arch Surg Date: 2014-04-02 Impact factor: 3.445
Authors: Milcho J Panovski; Igor V Fildishevski; Ljubomir Lj Ognjenovic; Violeta I Dejanova-Ilijevska Journal: Open Access Maced J Med Sci Date: 2017-05-25