“The successful surgical management of patients with hemophilia requires advanced preoperative planning. A formal treatment plan should be determined and distributed well in advance of any invasive procedure or surgery and is best done under the guidance of a hemophilia treat ment center (HTC).”

“Prior to surgery, the patient’s diagnosis should be confirmed with laboratory testing, rather than prior patient report. It is particularly important to differentiate severe von Wille
brand’s disease from hemophilia A. A preoperative history should include a review of baseline hemostatic needs that considers the frequency of breakthrough bleeding and the use of prophylactic and breakthrough hemostatic agents as well as surgical history, prior use of hemostatic support, and any bleeding complications.”