Regarding DVT in laparoscopy.
| Discussion in 'All Categories' started by Dr Anamika Saxina - May 31st, 2016 10:04 pm. | |
Dr Anamika Saxina
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What are the precaution one should take to prevent DVT during laparoscopic surgery. What is the incidence of DVT in laparoscopic surgery> |
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re: Regarding DVT in laparoscopy.
by Dr R K Mishra -
Jun 5th, 2016
1:22 am
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Dr R K Mishra
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Laparoscopy procedures have an increased risk for the development of thrombosis of deep vein of calf due to increased intra abdominal pressure and steep Trendelenburg position. Patients with varicose veins and a history of thromboembolism or high risk patient with obesity diabetes, Oral contraceptive, polycythemia may aggravate laparoscopy associated risks for the development of thromboembolic complications. In many patients just superficial thrombophlebitis in the thigh may lead sometime to deep vein thrombosis (DVT) and pulmonary embolism (PE). The best way of preventing DVT is good patient selection. High risk patient should be given prophylactic low molecular weight heparin and spiral stocking or pneumatic stocking should also be applied to the calf muscle. In those unfortunate patient urgent surgical treatment (high ligation) may be warranted together with immediate administration of low-molecular weight heparin and compressions therapy in intensive care unit. Patients with varicose veins and a strong history of recurrent venous thrombosis may not be suitable candidates for laparoscopic surgery. Exact incidence of incidence of DVTis less than 0.1%. According to recent literature despite the theoretical risk of thromboembolic disease due to use of the laparoscopic pneumoperitoneum and bad posture of patient creating in decrease in venous return, the frequency of DVT after either laparoscopic surgery is very low if adequate thromboprophylaxis is provided. |
