Venous thromboembolism in surgical practice.

Authors

  • I. L. Verkholaz
  • E. A. Yaroshenko
  • S. L. Malinovsky

DOI:

https://doi.org/10.26641/2307-0404.2018.4(part1).145660

Keywords:

surgery, prevention, thromboembolic complications

Abstract

A statistical retrospective analysis of the results of treatment of patients undergoing inpatient treatment in the surgical clinic, proctology and urology departments for 5 years was conducted, total number of patients – 27771, of them operated – 14849 (53.5%), postoperative mortality – 448 patients (3.0%), the overall mortality – 989 patients (3.6%). According to the analysis of the medical documentation, the total number of patients with pulmonary embolism (PE) was 98 (0.35%), the number of patients diagnosed during treatment – 56 (57.1%), at the time of pathoanatomical examination – 42 (42.9%); in 72 patients PE was directly responsible for death, 26 patients were cured by conservative methods. Of 98 patients with PE in 56 (56.1%), the main disease was oncological disease, in most cases in neglected form with distant metastases. A reduction in postoperative lethality by 40% was obtained, the reason for which, in our opinion, are: mandatory adherence to the recommended timing of the prevention of acute thromboembolic complications; prolongation of the prophylaxis term in patients who have undergone major surgical interventions or with postoperative complications that lead to a prolonged limitation of the patients' motor activity; a wider use of low molecular weight heparins.

Author Biographies

I. L. Verkholaz

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Surgery N 1
V. Vernadsky str., 9, Dnipro, 49044, Ukraine 

E. A. Yaroshenko

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Surgery N 1
V. Vernadsky str., 9, Dnipro, 49044, Ukraine 

S. L. Malinovsky

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Surgery N 1
V. Vernadsky str., 9, Dnipro, 49044, Ukraine 

References

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[Standards of the organization and professionally oriented protocols for the provision of medical care to patients with urgent surgical abdominal pathology]. Editor Bereznitskyi YaS, Fomin PD. Кyiv. 2010;470. Ukrainian.

Durinka JB, Hecht TE, Layne AJ, et al. Aggres­sive venous thromboembolism prophylaxis reduces VTE events in vascular surgery patients. Vascular. 2016;24(3):233-240.

Cooray R, Lake C. Prevention of deep vein thrombosis and pulmonary embolism. Anaesthesia & Intensive Care Medicine. 2015;19(9):457-61.

Yamamoto T. Management of patients with high-risk pulmonary embolism: a narrative review. J. Intensive Care. 2018;6:16.

How to Cite

1.
Verkholaz IL, Yaroshenko EA, Malinovsky SL. Venous thromboembolism in surgical practice. Med. perspekt. [Internet]. 2018Dec.3 [cited 2024Nov.7];23(4(part1):46-50. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/145660

Issue

Section

CLINICAL MEDICINE