title: Surgeon and haematologist: a review of comprehensive care for patients with inherited bleeding disorders in Northern Ireland.
abstract: BACKGROUND
  Management of patients with inherited bleeding disorders has improved since the introduction of Comprehensive Care Centres (CCC) in the United Kingdom (UK). In the event such patients need surgery, the aim of the multidisciplinary team is to facilitate outcomes as good as what would be expected in a non-bleeding disorder patient. A review of such comprehensive care was carried out in patients with inherited bleeding disorders when they needed surgery at Northern Ireland CCC. Aims of the study were to evaluate surgical morbidity and mortality in these patients.
  
  
  METHODS
  All patients with inherited bleeding disorders who underwent non-orthopaedic surgery between 2008 and 2012 were identified from the CCC records within the Belfast Health and Social Care Trust (BHSCT) in Northern Ireland (NI) and their case records reviewed.
  
  
  RESULTS
  28 patients received elective and emergency surgery during this period. There was minimum morbidity and no mortality in this cohort.
  
  
  CONCLUSIONS
  Surgery in patients with inherited bleeding disorders has become safe with the advent of multidisciplinary CCCs. Close communication between surgeon and haematologist is key in the successful management of these complex patients.
authors.affiliation: Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, Northern Ireland, UK. Jawad.ahmad@hotmail.co.uk
authors.forename: Jawad
authors.initials: J
authors.lastname: Ahmad
authors.forename: Gary M
authors.initials: GM
authors.lastname: Benson
authors.forename: Orla M
authors.initials: OM
authors.lastname: McNulty
authors.forename: Nathan
authors.initials: N
authors.lastname: Burnside
authors.forename: Sadaf
authors.initials: S
authors.lastname: Gull
authors.forename: Imran K
authors.initials: IK
authors.lastname: Tailor
authors.forename: Paul C
authors.initials: PC
authors.lastname: Winter
authors.forename: Roy A J
authors.initials: RA
authors.lastname: Spence
mesh_terms: D000328:Adult; D000368:Aged; D001778:Blood Coagulation Disorders / Q000097:blood / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009660:Northern Ireland; D061214:Patient Safety; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods*