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Von Willebrand's disease: indication for combined surgical procedures
Author(s) -
RITCHIE JOHN R.,
FLORINE BRENT L.,
ANDES W. ABE,
CUMINALE JOSEPH A.
Publication year - 1987
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.1987.tb00609.x
Subject(s) - medicine , von willebrand disease , orthopedic surgery , surgical procedures , surgery , dental surgery , bacteremia , haemophilia , intensive care medicine , von willebrand factor , dentistry , platelet , microbiology and biotechnology , biology , antibiotics
Summary The case presented illustrates several important aspects of von Willebrand's disease. Abnormal bleeding after dental extractions may be the first indication that a patient has a bleeding disorder. When replacement therapy is adequate, normal he‐most sis can be expected at the same time of surgery and after surgery. Multiple surgical procedures should be done where feasible. Orthopedic surgeons would probably hesitate to work simultaneously with dentists because of the perceived risk of joint infection secondary to bacteremia associated with dental procedures. However, many other procedures can be performed with success, as in the case reported here. Finally, until the time when virus‐free therapy (without the need of human donors) is available, the exposure of patients to blood components should be minimized by combining procedures and by using treatments such as Stimate whenever possible.