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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Main Authors: Dunjić Radica, Elezović Ivo, Vukašinović Zoran
Format: Article
Language:English
Published: Serbian Medical Society 2009-01-01
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.
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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