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Haemophilia and the forbidden abdomen[Note 1. The full text of this paper, with 142 references ...]
Author(s) -
Ingram G. I. C.
Publication year - 2000
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1046/j.1365-2516.2000.00429.x
Subject(s) - medicine , haemophilia , abdomen , splenectomy , surgery , general surgery , haemophilia a , spleen
Abdominal surgery became routinely possible over a hundred years ago, after the introduction of general anaesthesia and sterile procedures. Abdominal surgery for haemophiliacs had to wait another 60 or 70 years for adequate control of haemostasis. This paper traces its gradual achievement from the 1920s to the 1970s through a series of reports of appendectomies, gastric and intestinal operations, gall bladder operations and splenectomies in patients with haemophilia of varying degrees of severity. A short‐lived flurry of interest in splenectomy as a proposed treatment for haemophilia is also mentioned.