Prevention of postoperative venous thromboembolism by external pneumatic calf compression in patients with gynecologic malignancy
One hundred seven patients undergoing major surgery for gynecologic malignancy participated in a controlled trial evaluating the effectiveness of pneumatic calf compression in the prevention of postoperative deep venous thrombosis and pulmonary embolism. External pneumatic calf compression was applied intraoperatively and for five postoperative days. All patients were prospectively screened for deep venous thrombosis with impedance plethysmography and /sup 125/I-fibrinogen leg counting. Deep venous thrombosis and/or pulmonary emboli were detected in 18 of 52 control group patients (34.6%) whereas in seven of 55 (12.7%) of those treated with external pneumatic calf compression. External pneumatic calf compression was most effective during the first five days postoperatively and also reduced the incidence of deep venous thrombosis in patients at highest risk. When applied during surgery and for five days postoperatively, external pneumatic calf compression significantly reduces the incidence of postoperative venous thrombosis.
- Research Organization:
- Comprehensive Cancer Center Database, Durham, NC
- OSTI ID:
- 6630328
- Journal Information:
- Obstet. Gynecol.; (United States), Vol. 63:1
- Country of Publication:
- United States
- Language:
- English
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Related Subjects
BLOOD VESSELS
COMPRESSION
EMBOLI
DIAGNOSIS
LEGS
RADIOISOTOPE SCANNING
NEOPLASMS
PATIENTS
PNEUMATICS
PREVENTIVE MEDICINE
SURGERY
BODY
BODY AREAS
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DISEASES
FLUID MECHANICS
LIMBS
MECHANICS
MEDICINE
ORGANS
550601* - Medicine- Unsealed Radionuclides in Diagnostics