Abstract
The use of viscoelastic methods may play a crucial role in deciding whether or not to correct the assumed coagulation disorder. Conclusion: our study has demonstrated that when viscoelastic methods are used to evaluate the function of blood clotting in patients after major hepatic surgery, no coagulopathy has been found as opposed to the evaluation with standard blood clotting tests.
Unnecessary transfusions of blood derivatives can be avoided as well as all risks linked to their administration. Viscoelastic methods of coagulation assessment (ROTEM, TEG) help provide a detailed insight into the coagulation proces and our observations have shown that they should play a significant role in the postoperative assessment of patients following major hepatic resections.