Should You Stop Taking Blood Thinners After Fibroma Removal?

Fibroma excision issues?

I have been taking Bosentan daily.
Last Friday, I underwent an outpatient procedure to excise a suspected fibroma on the inner side of my knee, which was thought to be caused by a mosquito bite.
The wound is approximately 4 centimeters long.
Four days later, on Monday, there is still serous fluid oozing from the wound.
Should I temporarily discontinue Bosentan to promote faster healing of the wound? If I do stop, how many days would be advisable?

Mr. Su, 50~59 year old female. Ask Date: 2020/06/22

Dr. Lu Daokuan reply Plastic Surgery

Discontinue use 3 days prior to outpatient surgery.
It can be resumed 1-2 days postoperatively.
If there is still blood-tinged fluid after 4 days post-surgery, please consult with the surgeon.

Reply Date: 2020/06/22

More Info

When it comes to managing blood thinners like Warfarin or other anticoagulants after a surgical procedure such as fibroma removal, it is essential to consider several factors, including the type of surgery, the patient's overall health, and the specific anticoagulant being used.

In your case, you mentioned that you had a fibroma removed from the inner side of your knee, and you are experiencing some bleeding from the wound four days post-surgery. It is understandable to be concerned about the bleeding and whether to continue taking your blood thinner, which in this case is likely a medication like Warfarin or a similar anticoagulant.

General Guidelines on Anticoagulants Post-Surgery
1. Consult Your Surgeon: The most critical step is to communicate with your surgeon or the healthcare provider who performed the procedure. They will have the best understanding of your specific case and can provide personalized advice based on your surgical outcome and bleeding risk.

2. Risk of Bleeding vs. Risk of Clotting: Anticoagulants are prescribed to prevent blood clots, which can lead to serious complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE). However, after surgery, the risk of bleeding may increase, especially if the surgical site is still healing. The decision to continue or temporarily stop anticoagulants should weigh the risk of bleeding against the risk of clotting.

3. Timing for Stopping Anticoagulants: If your healthcare provider decides that it is safe for you to stop taking the anticoagulant, they will typically recommend a specific duration. This could range from a few days to a week, depending on how well your wound is healing and whether there are any signs of excessive bleeding.
4. Monitoring the Wound: Keep an eye on your surgical site. If you notice increased swelling, redness, or discharge that seems unusual, or if the bleeding worsens, seek medical attention promptly.
5. Reinitiating Anticoagulants: Once your healthcare provider assesses that the risk of bleeding has decreased and the wound is healing appropriately, they will guide you on when to resume your anticoagulant medication. This is crucial to ensure that you are protected against clotting risks while allowing your body to heal.

Conclusion
In summary, while it may be tempting to stop taking your blood thinner to promote faster healing of your fibroma removal site, it is vital to consult with your healthcare provider first. They will provide tailored advice based on your medical history, the specifics of your surgery, and your current health status. Always prioritize communication with your healthcare team to ensure a safe and effective recovery process.

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