Incidence of deep venous thrombosis after gynaecological laparoscopy
10.3760/j.issn:0366-6999.2001.06.016
- VernacularTitle:腹腔镜术后深静脉血栓的研究
- Author:
Limin FENG
1
;
Enlan XIA
;
Song JINGYU
;
Wong FELIX
Author Information
1. 首都医科大学附属北京天坛医院
- Keywords:
laparoscopic surgery;
deep venous thrombosis
- From:
Chinese Medical Journal
2001;114(6):632-635
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the incidence of deep venous thrombosis (DVT) after gynaecological laparoscopy. Methods The incidence of DVT was studied in 72 consecutive patients who underwent gynaecological laparoscopy in the Liverpool Health Service between May and September 1997. B-mode ultrasound supplemented by Doppler was used to examine venous patency and intraluminal echoes to diagnose DVT. Sixty-one patients who had pneumoperitoneum less than 60 minutes were classified a minor procedure and 11 who had pneumoperitoneum more than 60 minutes were classified as major procedure. Two Doppler ultrasound scans were planned for every patient. The first one was done within 24 hours and the second was performed on day 7 post-surgery. All 72 patients had the first scan and 40 out of 61 in the minor procedure group and 9 out of 11 in the major procedure had the second scan. Twenty-three patients who did not come for the second scan were followed up by phone. Results No DVT was found in our study. Conclusion This study confirms an impression that gynaecological laparoscopic procedure has a very low incidence of DVT. If it occurs, the diagnosis and treatment must be made as soon as possible so that the fatal complications such as pulmonary embolus can be avoided.
