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Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,536
Online ISSN 1827-1758
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
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.