Haemostatic disorders in orthopedic surgery: Laboratory diagnosis
Coagulative disorders may result from a breakdown in the balance between coagulation and fibrinolysis. It is important to assess relative physiological states of coagulation and fibrinolysis related to operation. An ideal outcome in orthopedic surgical procedures is the achievement of adequate haemo...
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Format: | Article |
Language: | English |
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Serbian Medical Society
2009-01-01
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Series: | Srpski Arhiv za Celokupno Lekarstvo |
Subjects: | |
Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790910567D.pdf |
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author | Dunjić Radica Elezović Ivo Vukašinović Zoran |
author_facet | Dunjić Radica Elezović Ivo Vukašinović Zoran |
author_sort | Dunjić Radica |
collection | DOAJ |
description | Coagulative disorders may result from a breakdown in the balance between coagulation and fibrinolysis. It is important to assess relative physiological states of coagulation and fibrinolysis related to operation. An ideal outcome in orthopedic surgical procedures is the achievement of adequate haemostasis without excessive bleeding despite transection of numerous blood vessels, a necessary part of any surgical procedure. Meticulous attention to secure intraoperative haemostasis is a surgeon's responsibility. The postoperative haemostatic response to injury must also lead to a hypercoagulable state and thrombosis because it is also accompanied by stasis and vessel injury, fulfilling Virchow's triad. For discussion of prophylaxis and treatment of venous thromboembolic disease and orthopedic surgical bleeding, the reader is referred to other articles. This paper discusses selected conditions leading to postoperative bleeding and thrombosis after orthopedic surgery as well as laboratory diagnosis. |
first_indexed | 2024-12-23T13:05:16Z |
format | Article |
id | doaj.art-d3ce1c16a85e4e89ad8fa6ccc02526f0 |
institution | Directory Open Access Journal |
issn | 0370-8179 |
language | English |
last_indexed | 2024-12-23T13:05:16Z |
publishDate | 2009-01-01 |
publisher | Serbian Medical Society |
record_format | Article |
series | Srpski Arhiv za Celokupno Lekarstvo |
spelling | doaj.art-d3ce1c16a85e4e89ad8fa6ccc02526f02022-12-21T17:45:54ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792009-01-011379-1056757410.2298/SARH0910567DHaemostatic disorders in orthopedic surgery: Laboratory diagnosisDunjić RadicaElezović IvoVukašinović ZoranCoagulative disorders may result from a breakdown in the balance between coagulation and fibrinolysis. It is important to assess relative physiological states of coagulation and fibrinolysis related to operation. An ideal outcome in orthopedic surgical procedures is the achievement of adequate haemostasis without excessive bleeding despite transection of numerous blood vessels, a necessary part of any surgical procedure. Meticulous attention to secure intraoperative haemostasis is a surgeon's responsibility. The postoperative haemostatic response to injury must also lead to a hypercoagulable state and thrombosis because it is also accompanied by stasis and vessel injury, fulfilling Virchow's triad. For discussion of prophylaxis and treatment of venous thromboembolic disease and orthopedic surgical bleeding, the reader is referred to other articles. This paper discusses selected conditions leading to postoperative bleeding and thrombosis after orthopedic surgery as well as laboratory diagnosis.http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790910567D.pdforthopaedic surgerythromboembolic diseasesurgical bleedinglaboratory diagnosis |
spellingShingle | Dunjić Radica Elezović Ivo Vukašinović Zoran Haemostatic disorders in orthopedic surgery: Laboratory diagnosis Srpski Arhiv za Celokupno Lekarstvo orthopaedic surgery thromboembolic disease surgical bleeding laboratory diagnosis |
title | Haemostatic disorders in orthopedic surgery: Laboratory diagnosis |
title_full | Haemostatic disorders in orthopedic surgery: Laboratory diagnosis |
title_fullStr | Haemostatic disorders in orthopedic surgery: Laboratory diagnosis |
title_full_unstemmed | Haemostatic disorders in orthopedic surgery: Laboratory diagnosis |
title_short | Haemostatic disorders in orthopedic surgery: Laboratory diagnosis |
title_sort | haemostatic disorders in orthopedic surgery laboratory diagnosis |
topic | orthopaedic surgery thromboembolic disease surgical bleeding laboratory diagnosis |
url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790910567D.pdf |
work_keys_str_mv | AT dunjicradica haemostaticdisordersinorthopedicsurgerylaboratorydiagnosis AT elezovicivo haemostaticdisordersinorthopedicsurgerylaboratorydiagnosis AT vukasinoviczoran haemostaticdisordersinorthopedicsurgerylaboratorydiagnosis |