World Journal of Laparoscopic Surgery

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VOLUME 8 , ISSUE 1 ( January-April, 2015 ) > List of Articles

RESEARCH ARTICLE

Coagulation Profile is Randomly done but never Helps in Preparation of Laparoscopic Surgery

S Uddin, M Riyad, G Alsaied, A Alshareef, K Muhaimeed, Y Abdulkarim

Citation Information : Uddin S, Riyad M, Alsaied G, Alshareef A, Muhaimeed K, Abdulkarim Y. Coagulation Profile is Randomly done but never Helps in Preparation of Laparoscopic Surgery. World J Lap Surg 2015; 8 (1):16-20.

DOI: 10.5005/jp-journals-10033-1239

Published Online: 01-04-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Study objective

To assess the usefulness of practicing preoperative coagulations tests in preparation of laparoscopic surgical procedures.

Design

Retrospective observational study.

Setting

king fahad medical city a tertiary-care referral center in Saudi Arabia.

Method

Five hundred and fifty adult patients scheduled for elective laparoscopic surgery were studied to determine whether plan of management was influenced by routinely done bleeding time (BT), platelet count (PC), prothrombin time (PT), activated partial thromboplastin time (APTT) and international normalization ratio (INR).

Results

No intervention or change of management was identified in 463 patients whom coagulation profiles were done routinely as part of preoperative preparation. However, management plan was changed in 5 (5.75%) of 87 patients having indications for coagulation profile test (p < 0.01).

Conclusion

The study shows that preoperative screening tests for coagulopathies not suspected on the basis of detailed clinical information are unnecessary and should not be done.

How to cite this article

Riyad M, Uddin S, Alsaied G, Alshareef A, Muhaimeed K, Abdulkarim Y. Coagulation Profile is Randomly done but never Helps in Preparation of Laparoscopic Surgery. World J Lap Surg 2015;8(1):16-20.


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