[Prevention of thromboembolic complications in laparoscopic surgery].
The rate of thromboembolic complications was studied in 6672 patients who underwent laparoscopic intervention. The effectiveness of preventive use of low-molecular weight heparin fraxiparine was evaluated. 5 patients (0.075%) developed deep veins thrombosis, 2 patients (0.03%)--pulmonary thromboembolis. The general rate of thromboembolic complications was 0.11%. Specific prevention by fraxiparine together with decrease of mean duration of operation, maintaining insufflation pressure equal or less than 1.6 kPa (12 mm Hg), periodical exsufflation every 30-40 min and turning of the patient into Trendelenburg's position permitted to reduce the rate of thromboembolic complications to 0.045%.
Nichitaĭlo
M E
ME
Beliaev
V V
VV
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use; D002648:Child; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D017762:Nadroparin / Q000627:therapeutic use; D012189:Retrospective Studies; D013923:Thromboembolism / Q000188:drug therapy / Q000517:prevention & control*
D000925:Anticoagulants; D017762:Nadroparin