Prevention of postoperative venous thromboembolism by external pneumatic calf compression in patients with gynecologic malignancy

Journal Article · Sun Jan 01 04:00:00 EST 1984 · Obstet. Gynecol.; (United States)

OSTI ID:6630328

Clarke-Pearson, D L; Synan, I S; Hinshaw, W M; Coleman, R E; Creasman, W T

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), Journal Name: Obstet. Gynecol.; (United States) Vol. 63:1; ISSN OBGNA
• Country of Publication: United States
• Language: English

Related Subjects

550601* -- Medicine-- Unsealed Radionuclides in Diagnostics
62 RADIOLOGY AND NUCLEAR MEDICINE
BLOOD VESSELS
BODY
BODY AREAS
CARDIOVASCULAR SYSTEM
COMPRESSION
COUNTING TECHNIQUES
DIAGNOSIS
DISEASES
EMBOLI
FLUID MECHANICS
LEGS
LIMBS
MECHANICS
MEDICINE
NEOPLASMS
ORGANS
PATIENTS
PNEUMATICS
PREVENTIVE MEDICINE
RADIOISOTOPE SCANNING
SURGERY