title: Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study.
abstract: BACKGROUND
  Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery. Studies on the mechanical prophylaxis of thromboembolism after gynaecological pelvic surgery are few. The aim of our study was to evaluate the effect of mechanical thromboembolism prophylaxis after gynaecological pelvic surgery using a combination of graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) or GCS alone.
  
  
  METHODS
  The study was performed on 108 patients who were randomly assigned to two groups. The first group received GCS before the operation and IPC during the operation (IPC + GCS group). The second group received GCS before the operation (GCS group). To analyze the effect of the preventive measures and the laboratory examination on the incidence of thrombosis and to compare the safety of these measures, the incidence of adverse reactions was assessed.
  
  
  RESULTS
  The morbidity associated with DVT was 4.8% (5/104) in the IPC + GCS group and 12.5% (14/112) in the GCS group. There were significant statistical differences between the two groups. There were no adverse effects in either group.
  
  
  CONCLUSIONS
  The therapeutic combination of GCS and IPC was more effective than GCS alone for thrombosis prevention in high-risk patients undergoing gynaecological pelvic surgery, and there were no adverse effects in either group.
authors.affiliation: Department of Obstetrics and Gynecology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Gao
authors.forename: Zhen-Yu
authors.initials: ZY
authors.lastname: Zhang
authors.forename: Zhan
authors.initials: Z
authors.lastname: Li
authors.forename: Chong-Dong
authors.initials: CD
authors.lastname: Liu
authors.forename: Yu-Xin
authors.initials: YX
authors.lastname: Zhan
authors.forename: Bao-Li
authors.initials: BL
authors.lastname: Qiao
authors.forename: Cui-Qin
authors.initials: CQ
authors.lastname: Sang
authors.forename: Shu-Li
authors.initials: SL
authors.lastname: Guo
authors.forename: Shu-Zhen
authors.initials: SZ
authors.lastname: Wang
authors.forename: Ying
authors.initials: Y
authors.lastname: Jiang
authors.forename: Na
authors.initials: N
authors.lastname: Zhao
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D048228:Intermittent Pneumatic Compression Devices; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000601:surgery*; D053828:Stockings, Compression; D013923:Thromboembolism / Q000209:etiology* / Q000517:prevention & control*; D020246:Venous Thrombosis / Q000209:etiology* / Q000517:prevention & control*