A Study on the Incidence of Venousthromboembolism in Laproscopic Surgeries in Tertiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Laparoscopic surgeries is a very common procedure performed all over the world There is controversy on possible side effects of laparoscopic surgeries alike deep vein thrombosis .American college of chest physicians in 2004 and 2008 recommended against the use of routine thromboprophylaxis in patients who undergo laparoscopic procedures if without any additional thromboembolic risk factors .Thrombosis may be caused by detrimental effect of pneumoperitoneum on venous flow ( increased abdominal pressure and negative trendelenberg position) General anesthesia is another risk factor for venous stasis in patients undergoing laparoscopic surgeries since it may cause stasis and DVT compared to spinal anesthesia .The other components of Virchow triad, hypercoagulability and endothelial injury may also seen during or after laparoscopic surgeries .This information is required to direct thromboprophylactic strategies to patients undergoing laparoscopic surgeries .Trial of extended thromboprophylaxis are much needed in patients at particularly high risk
Authors and Affiliations
Dr. Manivannan MS, Dr. Sriramchristopher M
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