Survey of the use of thromboprophylaxis in laparoscopic surgery in Denmark

Background: The aim of this study was to determine the current use of thromboprophylaxis for laparoscopic surgery in Denmark. Methods: Postal questionnaires were sent to all Danish surgical departments that performed laparoscopic surgery according to the National Laparoscopic Cholecystectomy Databas...

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Veröffentlicht in:British journal of surgery 2001-10, Vol.88 (10), p.1413-1416
Hauptverfasser: Filtenborg Tvedskov, T., Rasmussen, M. S., Wille-Jørgensen, P.
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container_issue 10
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container_title British journal of surgery
container_volume 88
creator Filtenborg Tvedskov, T.
Rasmussen, M. S.
Wille-Jørgensen, P.
description Background: The aim of this study was to determine the current use of thromboprophylaxis for laparoscopic surgery in Denmark. Methods: Postal questionnaires were sent to all Danish surgical departments that performed laparoscopic surgery according to the National Laparoscopic Cholecystectomy Database. Results: There was a written protocol for thromboprophylaxis in 93 per cent of the responding departments. In 37 per cent thromboprophylaxis was used for all patients undergoing laparoscopic surgery; only 7 per cent used thromboprophylaxis sporadically. All departments used low molecular weight heparin, 74 per cent in combination with graduated compression stockings. The criteria for using thromboprophylaxis varied greatly; in many departments conversion of the procedure to an open operation was not considered a criterion. Some 20 per cent of the departments reported previous thromboembolic complications following laparoscopic surgery. Conclusion: Despite the widespread use of thromboprophylaxis, symptomatic thromboembolic complications were reported from several departments. Further studies are needed to determine whether laparoscopic surgery should be considered a high‐risk procedure. © 2001 British Journal of Surgery Society Ltd
doi_str_mv 10.1046/j.0007-1323.2001.01856.x
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Some 20 per cent of the departments reported previous thromboembolic complications following laparoscopic surgery. Conclusion: Despite the widespread use of thromboprophylaxis, symptomatic thromboembolic complications were reported from several departments. 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S.</creatorcontrib><creatorcontrib>Wille-Jørgensen, P.</creatorcontrib><title>Survey of the use of thromboprophylaxis in laparoscopic surgery in Denmark</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background: The aim of this study was to determine the current use of thromboprophylaxis for laparoscopic surgery in Denmark. Methods: Postal questionnaires were sent to all Danish surgical departments that performed laparoscopic surgery according to the National Laparoscopic Cholecystectomy Database. Results: There was a written protocol for thromboprophylaxis in 93 per cent of the responding departments. In 37 per cent thromboprophylaxis was used for all patients undergoing laparoscopic surgery; only 7 per cent used thromboprophylaxis sporadically. All departments used low molecular weight heparin, 74 per cent in combination with graduated compression stockings. The criteria for using thromboprophylaxis varied greatly; in many departments conversion of the procedure to an open operation was not considered a criterion. Some 20 per cent of the departments reported previous thromboembolic complications following laparoscopic surgery. Conclusion: Despite the widespread use of thromboprophylaxis, symptomatic thromboembolic complications were reported from several departments. Further studies are needed to determine whether laparoscopic surgery should be considered a high‐risk procedure. © 2001 British Journal of Surgery Society Ltd</description><subject>Anticoagulants - therapeutic use</subject><subject>Bandages</subject><subject>Biological and medical sciences</subject><subject>Cholecystectomy, Laparoscopic - methods</subject><subject>Denmark</subject><subject>Health Surveys</subject><subject>Heparin, Low-Molecular-Weight - therapeutic use</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Medical sciences</subject><subject>Professional Practice</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Technology. Biomaterials. 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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); Wiley Online Library All Journals
subjects Anticoagulants - therapeutic use
Bandages
Biological and medical sciences
Cholecystectomy, Laparoscopic - methods
Denmark
Health Surveys
Heparin, Low-Molecular-Weight - therapeutic use
Humans
Length of Stay
Medical sciences
Professional Practice
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Technology. Biomaterials. Equipments
Thromboembolism - prevention & control
Thrombosis - prevention & control
title Survey of the use of thromboprophylaxis in laparoscopic surgery in Denmark
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