Surgery - blood thinners

For later this month I have a total left hip replacement scheduled. Since I have been mostly on Nplate, my hematologist will use that to calibrate my plt count. My orthopedic surgeon wants a count of 100k which is ok, but I would like 100+. The surgeon, he tells me, will need to use a blood thinner after surgery to reduce the chances of getting something like deep vein thrombosis. How does that work?
I would like to hear from others who had a thr, and dealing with the blood thinner issue. As for platelet management, did your doctor increase the medication to account for fluctuations? For example, if the goal is 100, did your hematologist raise the plt count to 150 prior to surgery to make sure the 100k will be there on the day of the surgery? Anything else related to this?
Thanks!  Gerlinde

Gerlinde I had both knees totally replaced in 2019 about 10 months apart.  There was no question about my platelets, my surgeon knows about ITP and didn't question my count, however he did have a count done a week before.  I can't recall now what it was.          After each surgery I was put on baby aspirin for a certain length of time - and my hematologist had a count done 2 weeks later and you know what, my count went UP while I was on the baby aspirin both times!   I am not on a treatment for ITP so can't tell you about having an increase in dosage - do know an oral surgeon wanted me to have a certain count before he would do surgery to cut the gum to get to a root, but my count ended up being ok with him.

Late last year I was put on a daily baby aspirin forever - again, my count has gone UP.   Crazy huh? 
I'm no spring chicken and have had ITP since mid-1989.

I'll tell you - a former hematologist told me she would be happy with a count of 50,000 for brain surgery.   I wanted a closer hematologist as I didn't like driving downtown so that's why I don't have her any longer.  

What is your count doing now?   Are you still on Nplate?

Gerlinde
Average lifespan of platelets in ITP is generally less than 5 days as opposed to 7-10 days in none ITPers.  
Newer platelets are larger and more sticky than mature ones thus risk of thrombosis is increased. This is why treatments are supposed to be at the lowest dose possible to keep counts above 50. 
My haematologist told me at diagnosis (9 years ago) that should  I need surgery with a count above 50 I would require subcutaneous Heparin injections whilst activity was reduced. 

Hello,
I think the 'standard' for major surgery is 100k. My orthopedic surgeon wants 100k. Yes, there will be blood thinners for a month. I don't know the name yet, but whatever it will be, it has to be at the lowest dose, says my hematologist. I don't quite understand why with ITP the platelet life span is less than 5 days.

As I said - my former hematologist said a count of 50,000 for platelets would be good for brain surgery.
I don't even know what my count was for each knee replacement, my surgeon was quite knowledgeable about ITP and aware I had it.   
But you need to have or be near the count the surgeon says he/she wants.  

What is your count now wildhag?