Incidence of post-operative deep vein thrombosis in gynaecological oncology.
Using 125I-fibrinogen scanning the incidence of post-operative DVT amongst patients with gynaecological malignancy was shown to be 37.9% which is substantially higher than the 10% to 15% expected in a general gynaecological population. Twenty per cent of the total group studied had isotopic evidence of bilateral venous thrombosis post-operatively. The inaccuracy of clinical diagnosis was demonstrated, and also the need to investigate both limbs if thrombosis was suspected. The incidence of post-operative DVT was found to be significantly lower in smokers (11.5%) compared with non-smokers (68.4%) (p less than 0.00025).
D005260:Female; D005340:Fibrinogen; D006801:Humans; D007044:Hysterectomy; D007457:Iodine Radioisotopes; D007866:Leg / Q000098:blood supply; D008197:Lymph Node Excision; D010051:Ovarian Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011446:Prospective Studies; D011877:Radionuclide Imaging; D012907:Smoking; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000209:etiology*; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery*
D007457:Iodine Radioisotopes; D005340:Fibrinogen