IMR Press / CEOG / Volume 24 / Issue 2 / pii/1997017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research

Prevention of thromboembolic complications in women undergoing gynecologic surgery

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1 II Clinic of Obstetric and Gynaecology, University “La Sapienza”, Rome - Italy
Clin. Exp. Obstet. Gynecol. 1997, 24(2), 58–60;
Published: 10 June 1997
Abstract

Our objective was to identify those patients particularly at risk of deep vein thrombosis (DVT) before they underwent extensive gynecologic surgery and to control if, a correct diagnostic analysis and a right pre-operative prophylaxis of patients with risk of developing DVT, was enough to improve post-operative prognosis. Of 2704 patients undergoing gynaecological surgery, 74 were pre-operatively considered at risk of developing DVT. Seventy percent of the patients received pre- and postoperative heparin, while 28% of the women received only postoperative heparin. Nonetheless, seven women receiving this prophylaxis developed DVT. The final results of our study demonstrate that there is a close correlation between incidence of DVT and the presence of risk factors. This incidence can be reduced by prophylactic measures such as elastic stockings for the lower legs, early post-operatory mobilization, hematocrit and volemy control, ending with pharmacological therapy with heparin.

Keywords
Deep vein thrombosis
Heparin prophylaxis
Hysterectomy
Pulmonary embolism
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