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ITP and surgery 11 months 3 weeks ago #72695

RR01 Offline Posts: 42 Thank you received: 2	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 11 months 3 weeks ago #72699

MelA Offline Posts: 1141 Karma: 2 Thank you received: 382	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 The following user(s) said Thank You: RR01
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ITP and surgery 11 months 3 weeks ago #72700

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. Posts: 2151 Karma: 7 Thank you received: 620	I agree with Mel. Surgeon needs to contact haemo for advice The following user(s) said Thank You: RR01
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ITP and surgery 11 months 2 weeks ago #72704

JJ Offline Posts: 226 Thank you received: 79	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 10 months 3 weeks ago #72747

freedom_45
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Posts: 2
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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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