Özet:

Surgeons may encounter with haematological patients who require urgent surgical procedures in dailysurgical practice. The surgical interventions may comprise of minor procedures such as abscessdrainage, however, indication of a simple appendectomy could be a difficult scenario being influencedby the underlying disease and side effects of the treatment. The causes of clinically significant bleedingare usually local, but a generalized haematological defect may come into being. Clarifying the aetiologyis promtly critical to rapid treatment and survival. A careful history, appropriate use of laboratory tests,and knowledge of possible causes are important to accelerate diagnosis and treatment. Bleeding frommultiple sites, spontaneous bleeding, or unexpectedly severe bleeding brings to mind a systemicprocess. In immunocompromised or immunosuppressed patients or systemically ill patients withchronic liver disease or chronic renal failure, haematological disorders are also seen with urgentsurgical problems. Rapid diagnosis and effective systemic and local therapy are so essential tocounter the problem. When any operative attempt is planned to hematological patients, these patientsshould pass through a very careful selection process and perfect perioperative preparatory period tomake sure that the result of surgery is excellent and not to apply further medical treatment to theunderlying disease. A collaboration between surgeons and haematologists is required for a successfulmedical treatment.

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