Perioperative intervention to prevent lower extremity deep venous thrombosis after gynecologic surgery

• Published in: Chung-hua fu chʿan kʿo tsa chih Vol. 44; no. 9; p. 669
• Main Authors: Zhu, Zhi-jun, Fang, Su-hua, Wang, Min-zhen, Lou, Hong-ying, Shu, Jing, Ying, Ke-jing
• Format: Journal Article
• Language: Chinese
• Published: China 01.09.2009
• Subjects: Adult; Bandages; Dextrans - therapeutic use; Female; Genital Diseases, Female - surgery; Gynecologic Surgical Procedures - adverse effects; Heparin, Low-Molecular-Weight - therapeutic use; Humans; Lower Extremity - blood supply; Middle Aged; Perioperative Care - methods; Postoperative Complications - epidemiology; Postoperative Complications - prevention & control; Prospective Studies; Risk Assessment; Ultrasonography, Doppler, Color; Venous Thrombosis - diagnostic imaging; Venous Thrombosis - epidemiology; Venous Thrombosis - etiology; Venous Thrombosis - prevention & control
• ISSN: 0529-567X

To investigate the preventative effect of perioperative intervention to lower extremity deep venous thrombosis (DVT) after gynecologic surgery. The 1062 patients,who received gynecologic surgery during 2007 June to 2008 June, were divided into intervention and nonintervention groups randomizely. According to the risk factors of DVT, the patients in intervention group were divided into 4 subgroups: low, mid, high and extremely high risk. Each group had its own preventive measures. If patients had spontaneous pain, tenderness and swelling, positivity of Neuhof or Homan syndrome, and extension of one low extremity superficial vein, the low extremity color Doppler ultrasound would be carried out immediately. The ultrasound would also be routinely carried out in the high and extremely high risk groups in intervention group after 2 and 7 days after surgery. A prospective study was carried out investigating incidence of DVT and coagulation function perioperation. The vein blood samples were taken at in a week before