POSTOPERATIVE VENOUS THROMBOEMBOLIC COMPLICATIONS: EPIDEMIOLOGY AND PREVENTION (REVIEW)

A.A. Baeshko
Department of Operative Surgery and Topographic Anatomy,
Minsk State Medical Institute,
Minsk, Belarus

The present review of literature concerning the prevention of lower limb deep vein thrombosis and its complications aimed to analyze current data on epidemiology of postoperative venous thromboembolism. The last two decades showed that the rate of this complication has increased greater than it used to be considered. Pulmonary embolism as a threatening complication of deep vein thrombosis appears to be one of the most common causes of fatal outcome in surgical patients with favorable prognosis. About 50% of deaths after such surgical procedures as appendectomy, cholecystectomy, herniotomy, are attributed to this complication. The review summarizes the data on deep venous thrombosis frequency after various surgeries without drug premedication, risk stratification of deep venous thrombosis and pulmonary embolism, analyses current pharmacological modalities of hemostasis correction, prevention of blood stasis in deep veins by physical methods. It is stressed that wide spreading of lower limb deep vein thrombosis and related morbidity and mortality, expenses accounted for their treatment allow to consider them of great social importance.

KEY WORDS: venous thromboembolic complications.

P.120

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