Ways of prevention a postoperative venous thromboembolic complications in patients with plan surgical pathology
DOI:
https://doi.org/10.11603/2414-4533.2017.3.8122Keywords:
deep vein thrombosis, pulmonary artery thromboembolism, surgical intervention.Abstract
The aim of the work. to prevent the development of embologenic forms of thrombotic process in the venous system of the vena cava inferioir in the early stages of thrombotic process development in the preoperative and early postoperative periods using the developed diagnostic and therapeutic algorithm.
Materials and Methods. The study included 837 patients who were in inpatient treatment at the Ternopil University Hospital in the Surgical Departments and were operated with planned pathology during 2011–2016. The main study group included 624 patients (2011–2014), whose thromboprophylaxis was conducted in accordance with interindustry protocols. The use of diagnostic-treatment algorithm in clinical practice was performed in 213 patients of the study group (2014–2016), which according to gender and age characteristics, structure of surgical pathology, type and volume of surgical interventions did not differ from patients in the main group.
Results and Discussion. In 134 (21.47 %) patients of the mentioned group in the postoperative period, thrombosis was detected in the pool of VCI. In 27 (20.2 %) patients, the thrombotic process was diagnosed in the basin of large and small subcutaneous veins, and in 107 (79.8 %) cases, thrombosis was detected in the deep venous system. In patients of the study group, thrombotic process in the basin of VCI was detected in 21 (9.91 %) observations. The thrombotic process was localized in the deep venous system in 17 (80.95 %) cases, in the system of superficial veins of the lower extremities – in 4 (19.06 %) patients. The offered diagnostic-treatment algorithm allows revealing a thrombotic process in the system of VCI in the early stages of its formation, and at its diagnostics to apply the justified tactics of the medical process, which allows to prevent the development of pulmonary embolism.
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