Laparoscopic renal-adrenal surgery in patients on oral anticoagulant therapy

Ioannis M. Varkarakis, Soroush Rais-Bahrami, Mohamad E Allaf, Guilherme C. Lima, Sompol Permpongkosol, Pravin Rao, Thomas W. Jarrett, Louis R. Kavoussi

Research output: Contribution to journalArticle

Abstract

Purpose: Patients requiring chronic anticoagulation are theoretically at increased risk for hemorrhage or thromboembolism perioperatively. Experience with laparoscopic renal/adrenal surgery in patients on chronic warfarin is limited. We assessed hemorrhagic/thromboembolic complications in this group of patients. Materials and Methods: The records of 787 patients undergoing laparoscopic renal/adrenal surgery were retrospectively reviewed. A total of 25 patients on chronic oral anticoagulation with warfarin were identified. The indications for warfarin therapy as well as periopierative management were reviewed. Clinical parameters, including operative time, estimated blood loss, hemorrhagic/thromboembolic complications and transfusions, were documented and compared with those in patients not receiving chronic anticoagulation. Results: Atrial fibrillation (56% of cases) and a prosthetic mitral valve (28%) were the most frequent indications for chronic anticoagulation. Bridging anticoagulation with unfractionated heparin was the most frequent management method (68% of cases). Patients with anticoagulation were older (p

Original languageEnglish (US)
Pages (from-to)1020-1023
Number of pages4
JournalJournal of Urology
Volume174
Issue number3
DOIs
StatePublished - Sep 2005

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Anticoagulants
Kidney
Warfarin
Therapeutics
Thromboembolism
Operative Time
Mitral Valve
Atrial Fibrillation
Heparin
Hemorrhage

Keywords

  • Adrenal glands
  • Blood transfusion
  • Hemorrhage
  • Kidney
  • Laparoscopy

ASJC Scopus subject areas

  • Urology

Cite this

Varkarakis, I. M., Rais-Bahrami, S., Allaf, M. E., Lima, G. C., Permpongkosol, S., Rao, P., ... Kavoussi, L. R. (2005). Laparoscopic renal-adrenal surgery in patients on oral anticoagulant therapy. Journal of Urology, 174(3), 1020-1023. https://doi.org/10.1097/01.ju.0000169461.35421.f6

Laparoscopic renal-adrenal surgery in patients on oral anticoagulant therapy. / Varkarakis, Ioannis M.; Rais-Bahrami, Soroush; Allaf, Mohamad E; Lima, Guilherme C.; Permpongkosol, Sompol; Rao, Pravin; Jarrett, Thomas W.; Kavoussi, Louis R.

In: Journal of Urology, Vol. 174, No. 3, 09.2005, p. 1020-1023.

Research output: Contribution to journalArticle

Varkarakis, IM, Rais-Bahrami, S, Allaf, ME, Lima, GC, Permpongkosol, S, Rao, P, Jarrett, TW & Kavoussi, LR 2005, 'Laparoscopic renal-adrenal surgery in patients on oral anticoagulant therapy', Journal of Urology, vol. 174, no. 3, pp. 1020-1023. https://doi.org/10.1097/01.ju.0000169461.35421.f6
Varkarakis, Ioannis M. ; Rais-Bahrami, Soroush ; Allaf, Mohamad E ; Lima, Guilherme C. ; Permpongkosol, Sompol ; Rao, Pravin ; Jarrett, Thomas W. ; Kavoussi, Louis R. / Laparoscopic renal-adrenal surgery in patients on oral anticoagulant therapy. In: Journal of Urology. 2005 ; Vol. 174, No. 3. pp. 1020-1023.
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