Von Willebrand disease is the most frequent congenital bleeding tenden
cy (1%). The moderate form is the most common (around 80%). It must co
nsistently be investigated prior to any surgery because of a real risk
of bleeding during or after the procedure. Once the diagnosis is made
, the indication of DDAVP has to be examined in order to make the best
therapeutic choice in case of surgery or severe bleeding. (C) 1998 El
sevier, Paris.