Does peroperative external pneumatic leg muscle compression prevent post-operative venous thrombosis in neurosurgery?
Post-operative deep venous thrombosis (DVT) is a frequent and potentially life-threatening complication in neurosurgery. In this field of surgery, with its special demands for exact haemostasis, prophylaxis against deep venous thrombosis with anticoagulant drugs has been utilized only reluctantly. Postoperative pneumatic muscle compression (EPC) has been shown to be effective, although there are several practical considerations involved with this method which limit its clinical applicability. In the present study per-operative EPC was evaluated and was found to provide good protection against DVT in patients with increased risk from this complication. This method has the advantage of being effective, safe, inexpensive and readily practicable.
Bynke
O
O
Department of Neurosurgery, University Hospital, Linköping, Sweden.
Hillman
J
J
Lassvik
C
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001932:Brain Neoplasms / Q000601:surgery; D005260:Female; D005340:Fibrinogen; D006801:Humans; D007430:Intraoperative Care; D007457:Iodine Radioisotopes; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000098:blood supply*; D011183:Postoperative Complications / Q000517:prevention & control*; D011312:Pressure; D011877:Radionuclide Imaging; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000517:prevention & control*
D007457:Iodine Radioisotopes; D005340:Fibrinogen