Indian Journal of Plastic Surgery
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 CASE REPORT
Year : 2017  |  Volume : 50  |  Issue : 2  |  Page : 213--216

Flap cover in a patient with severe haemophilia type A


1 Department of Plastic Surgery, St. John's Medical College and Hospital, Bengaluru, Karnataka, India
2 Department of Medicine, St. John's Medical College and Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Narender Manickavachakan
Department of Plastic and Reconstructive Surgery, St John's Medical College and Hospital, Bengaluru - 560 034, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijps.IJPS_214_16

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Haemophilia A is a rare haematological disorder due to deficiency of Factor VIII, causing an abnormal coagulation response to injury. In severe haemophilia A, Factor VIII level is <1%, often manifesting with spontaneous bleeding into joints. Judicious use of recombinant Factor VIII therapy to maintain adequate levels in the intraoperative, immediate and late post-operative periods, together with adjuvant pro-coagulants, can ensure a safe outcome following surgery. We describe the successful management of one such patient suffering from Marjolin's ulcer of the right gluteal region, who needed wide local excision followed by flap cover. A protocol for management of such patients is also suggested. This is the first such case report from the Indian subcontinent, with only a few such published reports from the West.






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