title: Prevention of thromboembolic complications in women undergoing gynecologic surgery.
abstract: Our objective was to identify those patients particularly at risk of deep vein thrombosis (DVT) before they underwent extensive gynecologic surgery and to control if, a correct diagnostic analysis and a right pre-operative prophylaxis of patients with risk of developing DVT, was enough to improve post-operative prognosis. Of 2704 patients undergoing gynaecological surgery, 74 were pre-operatively considered at risk of developing DVT. Seventy percent of the patients received pre- and postoperative heparin, while 28% of the women received only postoperative heparin. Nonetheless, seven women receiving this prophylaxis developed DVT. The final results of our study demonstrate that there is a close correlation between incidence of DVT and the presence of risk factors. This incidence can be reduced by prophylactic measures such as elastic stockings for the lower legs, early post-operatory mobilization, hematocrit and volemy control, ending with pharmacological therapy with heparin.
authors.affiliation: II Clinic of Obstetric and Gynaecology, University La Sapienza, Rome, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Stentella
authors.forename: A
authors.initials: A
authors.lastname: Frega
authors.forename: L
authors.initials: L
authors.lastname: Cipriano
authors.forename: G
authors.initials: G
authors.lastname: Spera
authors.forename: P L
authors.initials: PL
authors.lastname: Palazzetti
authors.forename: A
authors.initials: A
authors.lastname: Pachì
mesh_terms: D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006493:Heparin / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D010052:Ovariectomy / Q000009:adverse effects; D011184:Postoperative Period; D011300:Preoperative Care; D011379:Prognosis; D013924:Thrombophlebitis / Q000209:etiology / Q000517:prevention & control*
chemical_list: D006493:Heparin