Pediatric Hematology
Contributions
Type: Publication Only
Background
Circumcision is the oldest and most frequent surgical procedure in the world and especially in Turkey as is seen in the other Islamic countries because of religious and traditional pressures. The world health organization defines an adolescent as any person between ages 10 and 19. The social pressures are very strong in adolescent patients and especially adult patients. In this study, we aim to report the experience of circumcision at Çukurova University in total 36 adolescent and adult patients with hemophilia between 1994 and 2013.
Aims
We retrospectively reviewed medical records of 33 hemophilia patients without inhibitors and 3 hemophilia patients with inhibitors who had been circumcised. Before the year 2000, factor concentrates were given before and after circumcision for 6-7 days. After 2000, we used fibrin glue together with factor concentrates for only 3 days. By-passing agents were used for circumcision in hemophilia patients with inhibitors.
Methods
We retrospectively reviewed medical records of 33 hemophilia patients without inhibitors and 3 hemophilia patients with inhibitors who had been circumcised. Before the year 2000, factor concentrates were given before and after circumcision for 6-7 days. After 2000, we used fibrin glue together with factor concentrates for only 3 days. By-passing agents were used for circumcision in hemophilia patients with inhibitors.
Results
33 patients with hemophilia were circumcised in our centre under general anesthesia except for 3 patients who were given local anesthesia. Eight of 33 hemophilia patients (24,2 %) without inhibitors had 5 mild and 3 moderate bleeding complications. A few patients had significant bleeding despite adequate factor replacement. Two of three hemophilia patients with inhibitors had 2 mild bleeding complications.
Summary
Our experience showed that circumcision for patients with hemophilia should be carefully performed by surgeons together with pediatric hematologist under appropriate conditions in hemophilia centers which has comprehensive coagulation lab.
Keyword(s): Adolescents, Adult, Hemophilia, Surgery
Session topic: Publication Only
Type: Publication Only
Background
Circumcision is the oldest and most frequent surgical procedure in the world and especially in Turkey as is seen in the other Islamic countries because of religious and traditional pressures. The world health organization defines an adolescent as any person between ages 10 and 19. The social pressures are very strong in adolescent patients and especially adult patients. In this study, we aim to report the experience of circumcision at Çukurova University in total 36 adolescent and adult patients with hemophilia between 1994 and 2013.
Aims
We retrospectively reviewed medical records of 33 hemophilia patients without inhibitors and 3 hemophilia patients with inhibitors who had been circumcised. Before the year 2000, factor concentrates were given before and after circumcision for 6-7 days. After 2000, we used fibrin glue together with factor concentrates for only 3 days. By-passing agents were used for circumcision in hemophilia patients with inhibitors.
Methods
We retrospectively reviewed medical records of 33 hemophilia patients without inhibitors and 3 hemophilia patients with inhibitors who had been circumcised. Before the year 2000, factor concentrates were given before and after circumcision for 6-7 days. After 2000, we used fibrin glue together with factor concentrates for only 3 days. By-passing agents were used for circumcision in hemophilia patients with inhibitors.
Results
33 patients with hemophilia were circumcised in our centre under general anesthesia except for 3 patients who were given local anesthesia. Eight of 33 hemophilia patients (24,2 %) without inhibitors had 5 mild and 3 moderate bleeding complications. A few patients had significant bleeding despite adequate factor replacement. Two of three hemophilia patients with inhibitors had 2 mild bleeding complications.
Summary
Our experience showed that circumcision for patients with hemophilia should be carefully performed by surgeons together with pediatric hematologist under appropriate conditions in hemophilia centers which has comprehensive coagulation lab.
Keyword(s): Adolescents, Adult, Hemophilia, Surgery
Session topic: Publication Only