Nihon rinsho. Japanese journal of clinical medicine
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Review Case Reports
[Perioperative management of patients with idiopathic thrombocytopenic purpura].
Patients suffering from idiopathic thrombocytopenic purpura(ITP) who undergo surgery may have an increased risk of postoperative bleeding complications. In general, bleeding is a regular occurrence when the platelet count is less than 30,000 to 50,000/mm3. ⋯ No difficulty was encountered with hemostasis and the postoperative course was uneventful in all 3 patients. In patients with ITP, adequate perioperative management, such as high-dose immunoglobulin and platelet transfusion allows surgical treatment to be performed safely and successfully.