title: [Prevention of venous thromboembolism in urologic neoplasms].
abstract: OBJECTIVE
  We report our past experience on a sample of patients who underwent pelvic surgery to treat infiltrating bladder tumours.
  
  
  RESULTS
  We observed the highest incidence of TVP (33.3%, 3 out of 9) in those patients with higher risk due to anaesthesia and type of surgery. One of our patients died of pulmonary embolism.
  
  
  CONCLUSIONS
  Abdominal pelvic surgery in tumour-bearing patients can be risky due to high incidence of distal and proximal venous thrombosis often resulting in fatal pulmonary embolism (EP). The general risk factors should be evaluated. The diagnosis of venous thrombosis can be difficult to achieve only by clinical examination. Heparin administration as well as surgical techniques and physiotherapy are used as prophylactic measures to reduce the risk of venous thrombosis and to speed up recovery. Nowadays, there is an increasing risk of running into legal problems if appropriate measures to minimise the thromboembolism are not taken.
authors.affiliation: Unità Operativa di Urologia, Azienda Ospedaliera Papardo, Messina, Italy. f.mastroeni@infinito.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Mastroeni
authors.forename: Maurizio
authors.initials: M
authors.lastname: Aragona
authors.forename: Emanuele
authors.initials: E
authors.lastname: Caldarera
authors.forename: Antonello
authors.initials: A
authors.lastname: Piccolo
authors.forename: Salvatore
authors.initials: S
authors.lastname: Rotondo
authors.forename: Carlo
authors.initials: C
authors.lastname: Aragona
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D013923:Thromboembolism / Q000517:prevention & control*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*