Initial report of retroperitoneoscopic renal surgery in a patient with factor VIII deficiency (classic hemophilia).
Bleeding disorders are generally considered absolute contraindications to laparoscopic surgery. We believe laparoscopic/retroperitoneoscopic renal surgery is an optimal choice in patients with hemophilia, because it minimizes tissue trauma. We present a case of successful retroperitoneoscopic renal surgery in a patient with factor VIII deficiency with a perinephric abscess that failed less invasive treatments. A fully equipped coagulation laboratory, experienced hematologists, and an experienced laparoscopic surgeon play a large role in the outcome in patients with bleeding disorders undergoing minimally invasive procedures. We conclude that although uncorrected bleeding disorders are absolute contraindications for surgical procedures, those that are corrected and appropriately monitored are not.
Shu
Tung
T
Scott Department of Urology, Baylor College of Medicine and Methodist Hospital, Houston, Texas 77030, USA.
Moore
Debora K
DK
Moore
Robert G
RG
D000038:Abscess / Q000150:complications / Q000601:surgery*; D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D000075202:Contraindications; D015942:Factor VIIa / Q000627:therapeutic use; D015658:HIV Infections / Q000150:complications; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D011994:Recombinant Proteins / Q000627:therapeutic use; D014949:Wounds, Nonpenetrating / Q000150:complications
D011994:Recombinant Proteins; D015942:Factor VIIa