Incidence and Diagnostic modality for Deep Vein Thrombosis in Lower Limb Surgeries in Rural India
Journal Title: International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS) - Year 2016, Vol 3, Issue 4
Abstract
The association between injury and venous thromboembolic events (VTEs) is well recognized. The reported incidence of VTE after trauma varies from 7% to 58% depending upon the demographics of the patients, the nature of the injuries, the method of detection and the type of VTE prophylaxis (if any) used in the study population. We conducted a prospective cohort study to evaluate the frequency of deep vein thrombosis in major lower limb surgeries in rural India along with it’s the risk factors and any associated contributing factors. All the patients operated in tertiary care orthopaedic Indian rural hospital for lower limb between periods of 2 years (May 2007-Oct 2009) were included in the study. All these patients were followed up after surgery till they get discharged from the hospital. On 6th post operative day, all these patients were screened for deep venous thrombosis by non invasive duplex colour doppler. On 7 th post operative day, all patients were screened by invasive contrast venography procedure. We reported an incidence of 5.94% (12 cases in 202) for deep venous thrombosis in Indian rural population after major lower limb surgery. The incidence of proximal deep vein thrombosis was higher as compared to the distal deep vein thrombosis in our study group. Clinical sign and symptoms are less helpful for diagnosis of DVT. We concluded that though the invasive contrast venography is more sensitive and specific than duplex colour doppler for diagnosis of DVT. duplex colour doppler is preferred over contrast venography as not much difference was found in sensitivity and specificity amongst both. colour Doppler being less invasive and cost effective is advised over venography.
Authors and Affiliations
Gajanan Pisulkar, Mahendra Gudhe, Vasant Gawande, Sohael Khan, Sandeep Wagh
Keywords
Related Articles
- EP ID EP31057
- DOI -
- Views 334
- Downloads 0
Influence of some variables on Creative thinking ability of Adolescent students of Arunachal Pradesh
This study aimed to investigate the influence of settlement, anxiety and SES and their interactions on the creative thinking ability of school going adolescents. The descriptive research method was used for this study....
Theme of Identity and Redemption in Khaleed Hossieni’s The Kite Runner
The Kite Runner, written by Khaled Hosseini, is a famous novel for its devastating and painfully honest depiction of identity, betrayal, deception and atonement. The narrative portrays the journey of a boy escaping from...
Insurgency in Nagaland: An Impediment to Economic Development
Considering its strategic geographical location and abundant natural resources, Nagaland is also one among the other Northeast states of India that holds for a promising economic development. However, economic developme...
Construction of a Unexploited Developed Society as the Chief Aim of Marxism
Normally we think that the aim of Marxism is social change. But the aim of Marxism is not only that, their aim is to form a developed society. So, in this paper I made an attempt to discuss how Marxism wants to give a...
Facebook as a dependent tool for current affairs
The purpose of this research is to show how the youth is dependent on Facebook for news and information on current affairs. It also looks at identifying howFacebook moulds or influences their opinion about a particular...