Journal of Medicine and Life Science

Institute for Medical Science (제주대학교 의과학연구소)
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Unpredictable post-laparoscopic bleeding in essential thrombocytosis: a call for additional safety measures

  • Atef M.M. Darwish (Department of Obstetrics & Gynecology, Woman's Health University Hospital) ;
  • Dina A.M. Darwish (Department of Obstetrics & Gynecology, Woman's Health University Hospital) ;
  • Yasser Abdelaal (Hamad Medical Corporation)
  • Received : 2023.01.26
  • Accepted : 2023.04.11
  • Published : 2023.06.30
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Abstract

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.

Keywords

Acknowledgement

Patient's consent to publish her case is much appreciated.

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