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ITP and surgery

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1 year 11 months ago #72695 by RR01
ITP and surgery was created by RR01
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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1 year 11 months ago #72699 by MelA
Replied by MelA on topic ITP and surgery
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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  • mrsb04
  • Offline
  • 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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1 year 11 months ago #72700 by mrsb04
Replied by mrsb04 on topic ITP and surgery
I agree with Mel. Surgeon needs to contact haemo for advice 
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1 year 11 months ago #72704 by JJ
Replied by JJ on topic ITP and surgery
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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1 year 10 months ago #72747 by freedom_45
Replied by freedom_45 on topic ITP and surgery
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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The Platelet Disorder Support Association does not provide medical advice or endorse any medication, vitamins or herbs. The information contained herein is not intended nor implied to be a substitute for professional medical advice and is provided for educational purposes only. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment, discontinuing an existing treatment and to discuss any questions you may have regarding your unique medical condition.


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