Preoperative haemostatic testing in Sulaimanyia City

Abstract

Still the preoperative haemostatic testing with basic haemostatic panel one of the controversies subjects which are needed to be tested every now and then. Since the patients in our country are lacking the well organized medical documentation, these testing needs to be considered to avoid possible complications during or after surgery due to the hidden haemostatic abnormalities which is not always can be detected by the tests used as preoperative tests in our hospitals. A blood sample has been taken from 150 patients (59 males and 91 females) attending in surgical & obstetric teaching hospitals. All the patients were admitted for elective surgery. The following tests are done for all patients, platelet count (PC), prothrombin time (PT), activated partial thromboplastin time (aPTT), bleeding time(BT), and (D-Dimmer) while (TT) was done for those patients with prolonged (PT) & (aPTT). This study revealed that the frequency of the haemostatic abnormalities in the 150 preoperative cases is (14.6%). The 150 cases were divided to 50 cases with neoplastic disorders & 100 cases without other disorders. (32%) out of neoplatic cases have the haemostatic tests abnormalities while (6%) out of non-neoplastic disorders have these abnormalities. Out of 150 cases the D-dimmer was (11.3%), PT was prolonged in (2.66%), aPTT was prolonged in (4%).BT was prolonged in (2%). The Platelet count was low in (4%) while high in only (1.30%). There are a remarkable percentage of patients undergoing elective surgery with abnormal haemostatic parameters, but without clear preoperative testing program to identify them. The haemostatic abnormalities are more common in neoplastic cases, which indicate that the preoperative haemostatic testing needs to be considered seriously in our hospital with special concern to the patients with neoplastic cases.