title: [Prevention of thromboembolism with heparin in gynecological and obstetric surgery].
abstract: During a period of 28 months 983 gynaecological patients had major abdominal or vaginal operations under Heparin prophylaxis. In no case thrombosis or pulmonary embolism occurred. 5 hemorrhages required surgical revision and temporary reduction of Heparin dose. Global tests for preoperative diagnosis of hemostasis and for postoperative control of Heparin effect are discussed. Possible reactive fibrinolysis under Heparin administration, its complications and control are mentioned. Peri- and postoperative prophylaxis of thrombo-embolism with Heparin in daily dosages up to 20,00 I.U. seems well suitable.
mesh_terms: D001780:Blood Coagulation Tests; D002585:Cesarean Section; D005260:Female; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D007044:Hysterectomy; D011183:Postoperative Complications / Q000517:prevention & control*; D013923:Thromboembolism / Q000517:prevention & control*
chemical_list: D006493:Heparin
vernacular_title: Thromboembolie-Prophylaxe mit Heparin bei gynäkologischen und geburtshilflichen Operationen.