Can deep vein thrombosis be predicted after varicose vein operation in women in rural areas?
Journal Title: Annals of Agricultural and Environmental Medicine - Year 2014, Vol 21, Issue 3
Abstract
[b]Introduction[/b]. Chronic venous disease is a group of symptoms caused by functional and structural defects of the venous vessels. One of the most common aspects of this disease is the occurrence of varicose veins. There are many ways of prevention and treatment of varicose veins, but in Poland the leading one is still surgery. As in every medical procedure there is the possibility of some complications. One of them is deep vein thrombosis (DVT). The diagnosis of DVT can be difficult, especially when access to a specialist is limited, such as in case of rural patients. [b]The aim of the study.[/b] The aim of the study was estimation of the influence of LMWH primary prophylaxis on the formation of postoperative DVT, as well as sensitivity and specificity of clinical examination and D-dimer value in diagnosis of postoperative DVT in women. [b]Materials and methods[/b]. The study was conducted in a group of 93 women operated on in the Department of General, Vascular Surgery and Angiology at the Karol Marcinkowski University of Medical Sciences in Poznań, Poland. The patients had undergone a varicose vein operation and were randomly divided into two groups: A – 48 women receiving LMWH during two days of the perioperative period, B – 45 women receiving LMWH during seven days of the perioperative period. [b]Results[/b]. There was no significant difference in the postoperative DVT complications in both groups. The value of D-dimer > 0.987 mcg/ml and swelling > 1.5 cm of shin (in comparison to the preoperative period) plays a significant role in diagnosis of DVT. [b]Conclusions[/b]. The extended primary prophylaxis with LMWH does not affect the amount or quality of thrombotic complications after varicose vein operation. If the DVT occurs, the evaluation of the D – dimer and careful clinical examination can be a useful method for its diagnosis.
Authors and Affiliations
Marcin Warot, Tomasz Synowiec, Agnieszka Wencel-Warot, Przemysław Daroszewski, Iwona Bojar, Maciej Micker, Paweł Chęciński
Keywords
Related Articles
- EP ID EP80844
- DOI -
- Views 142
- Downloads 0
Injuries caused by sharp instruments among healthcare workers – international and Polish perspectives
Health care workers (HCW) worldwide are especially exposed to injury by sharp instruments in the course of their duty. The most often executed procedures with injury risk are: intramuscular or subcutaneous injection (22%...
Environmental pollution and parental smoking influence on the appearance of pseudocroup in children
Objective: The aim of the study was to assess the effect of environmental pollution and parental tobacco smoking on the occurrence of pseudocroup in children. Material and methods: A questionnaire-study was performed in...
Microtissue density prognostic factor evaluation based on antigens CD34 and CD 105 in ovarian cancer patients
Uncontrollable cell division and disorders of the apoptotic processes constitute the key phenomena in cancer transformation. The theory that the tumour growth above critical density is possible due to creation of the new...
1st Scientific Conference VARIATION IN PHYSICAL ACTIVITY OF SOCIETIES
On 28-29 May 2012, the ‘Zaborek Wilderness’ guest house in Janów Podlaski hosted the participants of a scientific conference organized by the Institute of Rural Health in Lublin and State School of Higher Education in Bi...
Validation of direct plating of a stool sample as a method for [i]Listeria monocytogenes[/i] detection
The aim of current studies was to validate the direct plating of a stool sample for [i]Listeria monocytogenes[/i] detection, using selective medium Palcam agar with Palcam selective supplement. Validation was performed u...