Introduction:

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

Objective:

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.

Method:

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

Results:

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

Conclusions:

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

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