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M Riyad et al
          ConCLUSion                                            6.  Segal JB, Dzik WH, et al. Paucity of studies to support that
                                                                  abnormal coagulation test results predict bleeding in the
          It can be suggested based on our findings that routine   setting of invasive procedures: an evidence based review.
          preoperative PT, APTT, INR, BT, PC can be safely elimi-  Transfusion 45;45:1413-1425.
          nated from preparation of patient for laparoscopic proce-    7.  Cosmi B, Alartri A, Cattaneo M, Gresele P, et al. Assessment
          dures by careful history taking and clinical examinations   of bleeding in patients undergoing surgery or invasive pro-
                                                                  cedures: guidelines of Italian society for haemostasis and
          without endangering patient’s life or adversely affecting   thrombosis (SISET). Thrombosis Res 2009;124:e6-e12.
          the outcome.                                          8.  Hartnick CJ, Ruben RJ. Preoperative coagulation studies
                                                                  prior to tonsillectomy. Arch Otolaryngyol Head Neck Surg
          REfEREnCES                                              126, May 2000.
            1.  Preoperative tests. The use of routine preoperative tests for     9.  Jonnavithula N, Durga P, et al. Routine preoperative coagula-
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              June 2003. Available at: www.nice.org.uk.           2009;108:76-78.
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              Br Haematol 2008;140:496-504.                     11.  Smentana GW, Macpherson DS. The case against routine
            3.  Practice advisory for preanesthesia evaluation; a report by   preoperative laboratory testing. Med Clin N Am 2003;87:7-40.
              the American Society of Anesthesiologists task force on     12.  Barber A, Green D, Galluzzo T, Tsao C. The bleeding time as
              preanesthesia evaluation. Anesthesiology 2002;96:485-496.  a preoperative screening test. Am J Med 1985;78:761-764.
            4.  Rohrer MJ, Michelotti MC, Nahworld DL. A prospective     13.  Roizen MF. More preoperative assessment by physicians and
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              Ann Surg 1988;208:544-547.                        14.  Davis DA, Taylor-Vaisey A. Translating guidelines into
            5.  Guidelines to the practice of anesthesia—2008 the pre-  practice. A systemic review of theoretic concepts, practical
              anesthetic period. Available at: http://www.cas.ca/members/  experience and research evidence in adoption of clinical
              sign_in/guidelines/practice_of_anesthesia           practice guidelines. CMAJ 1997;157:408-416.


















































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