TY - JOUR
T1 - Total abdominal hysterectomy in a patient with immune thrombocytopenic Purpura
T2 - A case report
AU - Kyejo, Willbroad
AU - Ntiyakunze, Gregory
AU - Moshi, Brenda
AU - Lubuva, Neema
AU - Kaguta, Munawar
AU - Jaiswal, Shweta
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2024/1
Y1 - 2024/1
N2 - Introduction: Immune Thrombocytopenic Purpura poses unique challenges in surgical settings due to an increased risk of bleeding. This report details the perioperative management of a patient with Immune Thrombocytopenic Purpura undergoing Total Abdominal Hysterectomy, emphasizing the importance of tailored approaches for such cases. Case presentation: A 41-year-old female with Immune Thrombocytopenic Purpura and symptomatic uterine fibroids, despite medical management, opted for Total Abdominal Hysterectomy. Prednisolone therapy and platelet transfusion were used preoperatively to optimize platelet counts. Discussion: Effective management was achieved through meticulous surgery, continued prednisolone therapy, and vigilant postoperative monitoring. This case highlights the value of a multidisciplinary approach in ensuring positive surgical outcomes for Immune Thrombocytopenic Purpura patients. Conclusion and recommendation: This case underscores the significance of individualized perioperative care for Immune Thrombocytopenic Purpura patients undergoing major surgery. By optimizing medical therapy and maintaining close monitoring, favorable results can be achieved, enhancing the quality of life for such patients. It is recommended that such comprehensive approaches are considered in similar cases.
AB - Introduction: Immune Thrombocytopenic Purpura poses unique challenges in surgical settings due to an increased risk of bleeding. This report details the perioperative management of a patient with Immune Thrombocytopenic Purpura undergoing Total Abdominal Hysterectomy, emphasizing the importance of tailored approaches for such cases. Case presentation: A 41-year-old female with Immune Thrombocytopenic Purpura and symptomatic uterine fibroids, despite medical management, opted for Total Abdominal Hysterectomy. Prednisolone therapy and platelet transfusion were used preoperatively to optimize platelet counts. Discussion: Effective management was achieved through meticulous surgery, continued prednisolone therapy, and vigilant postoperative monitoring. This case highlights the value of a multidisciplinary approach in ensuring positive surgical outcomes for Immune Thrombocytopenic Purpura patients. Conclusion and recommendation: This case underscores the significance of individualized perioperative care for Immune Thrombocytopenic Purpura patients undergoing major surgery. By optimizing medical therapy and maintaining close monitoring, favorable results can be achieved, enhancing the quality of life for such patients. It is recommended that such comprehensive approaches are considered in similar cases.
KW - Immune thrombocytopenic purpura
KW - Preoperative preparation
KW - TAH
UR - http://www.scopus.com/inward/record.url?scp=85179115676&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2023.109102
DO - 10.1016/j.ijscr.2023.109102
M3 - Article
AN - SCOPUS:85179115676
SN - 2210-2612
VL - 114
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
M1 - 109102
ER -