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ITP and surgery 3 months 3 weeks ago #72695

  • RR01
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Has anyone had surgery with low counts as low as 20 or 25K? I might need an adrenal gland-related laparoscopic surgery but still in the diagnosis phase though. The doctor mentioned single donor platelets and go on with surgery.. Staying on steroids while surgery is it not advisable - please share what options were suggested for surgery to raise platelet count.

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ITP and surgery 3 months 3 weeks ago #72699

  • MelA
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RR01 what does your hematologist say?
Are you having your surgeon confer with your hematologist?  
"Instead of wasting your time worrying about symptoms, just get it checked out" -Nieca Goldberg, MD
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ITP and surgery 3 months 3 weeks ago #72700

  • mrsb04
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  • ITP since 2014. Retired nurse. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use.
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I agree with Mel. Surgeon needs to contact haemo for advice 
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ITP and surgery 3 months 2 weeks ago #72704

  • JJ
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I had surgery with low counts with platelets given during it. Another time I had steroids up until two weeks before. Surgery was then done quickly before my count came back down. I had to be off steroids for the surgery because it hampers wound healing.

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ITP and surgery 2 months 3 weeks ago #72747

  • freedom_45
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I have had 3 surgeries in Canada. One for a tibial plateau fracture plate and screws inserted. A second, a year later, for removal of the plate and screws. A third surgery for laparoscopic removal of my gallbladder. Surgeons and hematologist are comfortable with surgery if platelet count is 50+. Each time I required IVIG one week before surgery as that gets my platelets above 50 for two or three weeks before dropping back to my usual count of 23 ( no meds taken and very minimal ITP symptoms for me). 

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