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Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390


SOSA, Elizabeth; LEMOS, Felipe; INSAGARAY, Juan  and  RODRIGUEZ, Ismael. Laparoscopic cholecystectomy and trans-cyst papiloplastia in a patient with severe hemophilia. Rev. Méd. Urug. [online]. 2018, vol.34, n.3, pp.108-120. ISSN 0303-3295.


hemophilia implies an alteration of coagulation which requires a multidisciplinary approach in surgical contexts.


the study aims to explain the comprehensive perioperative approach of a patient with severe hemophilia A within the framework of a frequent pathology of the bile duct.


description of a clinical case including the patient’s medical history, current diseases, pre, intra and postoperative management.


the proposed procedure was achieved, programing of human resources, inputs and infrastructure was optimized.


the patient’s hemostasis was achieved for the goal set and this detailed analysis may result in improvement for future procedures.

Keywords : Hemophilia; Hemophilia A; Factor VIII; Perioperative period.

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