[Thrombo-embolism in urologic surgery. Prevention by heparin of antiprothrombic drugs. A retrospective report of 2,657 cases (author's transl)].
Three groups of patients undergoing urological operations were given a prophylactic regimen of either subcutaneous heparin (n = 1143), antiprothrombics (n = 944) or no medication (n = 570). Results were deemed through simple clinical criteria. They were similar for the whole of patients and for some types of surgery, pecularly protatic: Anticoagulation induced a significant lowering of the frequency of thromboembolism, heparin being more efficient than antiprothrombics. It does not increase the percentage of haemorrhages. More, peridural anesthesia is not contre-indicated by heparin. However, parietal problems appear to be more frequent among heparinized patients.
D000293:Adolescent; D000367:Age Factors; D000368:Aged; D006470:Hemorrhage / Q000209:etiology; D006493:Heparin / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D011470:Prostatic Hyperplasia / Q000601:surgery; D012189:Retrospective Studies; D013923:Thromboembolism / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D014551:Urinary Tract / Q000601:surgery*; D014812:Vitamin K / Q000037:antagonists & inhibitors*
D014812:Vitamin K; D006493:Heparin
Les accidents thrombo-emboliques en chirurgie urologique. Leur prévention par l'héparine et les anti-vitamines K. Analyse rétrospective de 2.657 interventions.