Abnormal PT, aPTT and INR results for TT patient?

Question

Have any of you came across a tummy tuck patient where their PT, aPTT and INR results came back abnormal and if so were they able to have there procedure done?

John LoMonaco, MD, FACS · Answer

These tests are important to perform if your doctor is concerned about your blood clotting.  If they are abnormal, that needs to be completely explained and corrected prior to surgery.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry,  it is best you first ask your primary doctor to explain why you have these abnormal lab values.  If you have an underlying medical problem that can be corrected that should be your first priority.  Next discuss with a surgeon if your condition can be managed well enough to have an elective tummy tuck, good luck.

Farah Naz Khan, MD · Answer

Since these tests indicate that your clotting mechanism is off, you are at much higher risk for bleeding. When a patient of mine has abnormal lab results, I refer them to a specialist who can thoroughly work them up to figure out what’s going on. In your case, a hematologist would be able to give you more info. And, based upon that info and any possible treatment options, you could discuss with your operating surgeon if you are still a candidate for a tummy tuck. Hope this helps!

Daniel Barrett, MD · Answer

Dear dward2017,no board-certified plastic surgeon will have a surgery if the patient has abnormal PT, aPTT or INR results.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Camille Cash, MD · Answer

The lab results you mentioned have to deal with the body's ability to clot.  This is important due to risk of bleeding from surgery.  Depending on the specific results it is possible the surgery could be postponed.  Your surgeon will be the best one to advise you after review of your results.

Justin P. Martin, MD, FACS · Answer

Thanks for your question.  As you may already know, these lab values represent your blood's ability to clot.  If they are abnormal, then you are at a much higher risk of having bleeding complications during and after surgery.  In my opinion, these values would need to be normal before undergoing any elective surgical procedure.

Naveen Somia, MBBS, PhD, FRACS · Answer

I will be alarmed if someone thinks it is safe to perform a Tummy Tuck with  abnormal results of PT, APTT and INR. Your risk of uncontrolled bleeding is higher than normal.

Abnormal PT, aPTT and INR results for TT patient?

Answers (7)

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