Seyed Hamzeh Mousavie1, Nafiseh Ghafouri2, Shahram Nazerani3*, Behnood Farazmand4, Mostafa Hoseini5

Abstract

Background: Despite the lack of the general surgical guidelines for hemophilic patients, considering some applicable rules on preoperative, intraoperative and postoperative management of hemophilic patients who are candidate for major surgeries is sensible and even vital. Methods: This study describes a series of hemophilic patients aged 18 years and older who underwent different types of surgeries in Rasoul-e-Akram or Firoozgar hospital in Tehran between 2005 and 2015. All baseline characteristics as well as postoperative complications were collected from the hospital recorded files. Results: In total, 4 patients underwent different surgeries (one of the patients underwent surgery three times with total six surgical times). The surgical procedures consisted of gastric biopsy, synovial joint biopsy, hypophysectomy, and pectoral nerve grafting, osteotomy, and shoulder fusion. Procedural-related death was observed only in one patient. Also, preoperative blood transfusion was necessitated for only two patients. None of the major complications including local or systemic infections, deep vein thrombosis, intraoperative bleeding or readmission was reported. Conclusion: Considering proper preoperative and postoperative cares as well as timely administrating factors and blood products, the postoperative adverse events can be effectively minimized.