Stopping warfarin

Just a quick one...my husband is due to have surgery later in March. He has been told to stop warfarin 7 days prior to the op (hernia). He had two severe strokes eight years ago and I am naturally concerned at him being without warfarin for such a long time. He has af btw. There was a post a couple of days ago referring to "injections" to lessen the risk, should he have a stroke. Can someone explain please, what are the injections and who,should I be talking to about prioritizing their availability.

He is being operated on under NHS, but at private hospital, I would much prefer the general hospital but risk a further wait if I start asking for change. I am fearful of the typical Friday afternoon consultant list, where you are tipped out at the end of the day, whatever your condition and told to,go to A&E if any problems. Bit of a cynic.

3 Replies

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  • Clexane is the injection . Explain to your GP and he could arrange them. You generally do it yourself at home. very easy once you pluck up the courage.

  • An inguinal hernia operation can be carried out safely provided the INR is below 3. See this article:

    ncbi.nlm.nih.gov/pubmed/187...

    If your surgeon, who needs to get himself up to date a bit, is still hesitant, then heparin should be used.

    Mark

  • Thanks Mark, that was just what I was looking for. I am terrified by the thought of his being under coagulated as I have lived through the consequences. Still am.

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