Unpredictable post-laparoscopic bleeding in essential thrombocytosis: a call for additional safety measures

Patients with essential thrombocythemia (ET) can undergo laparoscopy without international precautions. This case report describes an ET with a mild increase in the platelet count that developed after laparoscopic surgery and prolonged intraperitoneal bleeding. The patient underwent intensive postop...

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Bibliographic Details
Published in:Journal of Medicine and Life Science
Main Authors: Atef M.M. Darwish, Dina A.M. Darwish, Yasser Abdelaal
Format: Article
Language:English
Published: Institute for Medical Science, Jeju National University 2023-06-01
Subjects:
thrombocythemia
essential
hemorrhage
laparoscopy
salpingitis
hydroxyurea
Online Access:http://www.e-jmls.org/upload/pdf/jmls-2023-20-2-99.pdf
Description
Summary:Patients with essential thrombocythemia (ET) can undergo laparoscopy without international precautions. This case report describes an ET with a mild increase in the platelet count that developed after laparoscopic surgery and prolonged intraperitoneal bleeding. The patient underwent intensive postoperative medical and surgical treatments until cured. Patients with ET should provide informed consent for post-laparoscopic bleeding. Surgeons should perform optimal hemostasis. Further studies are required to provide clear guidelines for both medical and surgical interventions aimed at preventing thrombo-hemorrhagic complications associated with ET. A preoperative study of platelet function and the selection of the best cytotoxic drug for the perioperative period are mandatory.
ISSN:2671-4922

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