Initial report of retroperitoneoscopic renal surgery in a patient with factor VIII deficiency (classic hemophilia).

Abstract:

: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.

journal_name

Urology

journal_title

Urology

authors

Shu T,Moore DK,Moore RG

doi

10.1016/j.urology.2003.08.032

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

175-6

issue

1

eissn

0090-4295

issn

1527-9995

pii

S0090429503009233

journal_volume

63

pub_type

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