Hi there!  I am a 50-yr-old female with history of Von Wilebrands.  I have had over 31 pints of donated blood during various surgeries and have almost bled out in surgery 3 times (Emergency C-Section, ureter resection and hysterectomy).  I am dealing with right kidney problems (2 nephrostomy tubes/9 renal stents) and my kidney remains hydronephroic (?) and painful keeing me down more than up.  Would it be wise for me to consider having it taken out vs. stents/hospital visits/lots of pain?  Do you think DVAPP would control the bleeding?  Thank you!
Hello and welcome to Chat Doctor, Von Hildebrand disease is managed by DVA PP. However, during periods of crisis like surgery factor replacement may be required. Fresh frozen plasma is best suited for replacement of deficient factors. Whole blood infusions can cause volume overload and hyperkalemia.DVA PP can be used once you tide over the period of crisis. The best management for the HY Chat Doctor. Nephrology tubes are temporary and can be taken out once the indication is over. Stents would help in managing the HY