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Blood Clots, Blood Thinners and Hysterectomy Surgery
Date : 04-14-2000 - 10:16 PM - Readers : 19436
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 I have a blood clotting health concern. I'm worried about preventing blood clots post-op. I had major surgery before I started taking warfarin. Has anyone been taking anticoagulants when they had their surgery and how did it go?

Doctors usually tell patients with this condition to stop medications in preparation for surgery. Assuming you have a hematologist, s/he should be working closely with your surgeon to assure that you won't have a problem with blood clots during or after surgery.

As your doctor knows of your meds he/she will probably address everything at your pre-op appointment. Be sure and ask all your questions and persist in getting an explanation for anything that worries you.

There will probably be some lab work to check your PT/PTT/INR. You'll probably have them on a regular basis to check if your medication levels are effective without over/underdosing. If your levels are too high, there are quick ways to take care of this matter.

Once you check into the hospital, be sure and tell everyone...nurses, anesthesiologist, as you are your best healthcare advocate.

After surgery some Docs give shots of Heparin while you are recovering in the hospital and put your back on your blood thinning medications at discharge from the hospital.

Additionally, you should get out of bed regularly to walk and move every few hours which helps to keep the blood clots from forming.

Anesthesiologists have been known on occasion to refuse to do surgery if they were not comfortable with the pre-op management of blood thinning medications. Be sure to make everyone aware of your needs and keep reminding them!

With proper preparations your surgery can go smoothly!
 
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