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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

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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