Transfuse Platelets for Bleeding Interoperatively?

The initial management is medical. You want to start with steroids and consider i vi g before move toward surgical management. For patients who are medically refractory, you would consider doing a splenactime for them. Another reason could be recurrence. Or a third reason could be avoiding the need for long standing sterwoldYou know, you may have a patient that responds medically, but then it recurs.