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MINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


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Minerva Urologica e Nefrologica 1998 December;50(4):247-51

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: English

Major surgery (radical cystectomy with urethrectomy) in a patient with von Willebrand’s disease type I. Reliability and limits of hemocoagulative tests

Favro M. 1, Terrone C. 1, Neira D. 1, Rocca Rossetti S. 1, Schellino M. M. 2, Livigni S. 2, Tempia A. 2

1 University of Torino, Department of Surgical and Medical Disciplines, Urological Clinic; 2 University of Torino, Institute of Anesthesia and Rehabilitation


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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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