Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study
Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery. Studies on the mechanical prophylaxis of thromboembolism after gynaecological pelvic surgery are few. The aim of our study was to evaluate the effect of...
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| Veröffentlicht in: | Chinese medical journal 2012-12, Vol.125 (23), p.4259-4263 |
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| container_title | Chinese medical journal |
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| creator | Gao, Jie Zhang, Zhen-Yu Li, Zhan Liu, Chong-Dong Zhan, Yu-Xin Qiao, Bao-Li Sang, Cui-Qin Guo, Shu-Li Wang, Shu-Zhen Jiang, Ying Zhao, Na |
| description | Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery. Studies on the mechanical prophylaxis of thromboembolism after gynaecological pelvic surgery are few. The aim of our study was to evaluate the effect of mechanical thromboembolism prophylaxis after gynaecological pelvic surgery using a combination of graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) or GCS alone.
The study was performed on 108 patients who were randomly assigned to two groups. The first group received GCS before the operation and IPC during the operation (IPC + GCS group). The second group received GCS before the operation (GCS group). To analyze the effect of the preventive measures and the laboratory examination on the incidence of thrombosis and to compare the safety of these measures, the incidence of adverse reactions was assessed.
The morbidity associated with DVT was 4.8% (5/104) in the IPC + GCS group and 12.5% (14/112) in the GCS group. There were significant statistical differences between the two groups. There were no adverse effects in either group.
The therapeutic combination of GCS and IPC was more effective than GCS alone for thrombosis prevention in high-risk patients undergoing gynaecological pelvic surgery, and there were no adverse effects in either group. |
| doi_str_mv | 10.3760/cma.j.issn.0366-6999.2012.23.018 |
| format | Article |
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The study was performed on 108 patients who were randomly assigned to two groups. The first group received GCS before the operation and IPC during the operation (IPC + GCS group). The second group received GCS before the operation (GCS group). To analyze the effect of the preventive measures and the laboratory examination on the incidence of thrombosis and to compare the safety of these measures, the incidence of adverse reactions was assessed.
The morbidity associated with DVT was 4.8% (5/104) in the IPC + GCS group and 12.5% (14/112) in the GCS group. There were significant statistical differences between the two groups. There were no adverse effects in either group.
The therapeutic combination of GCS and IPC was more effective than GCS alone for thrombosis prevention in high-risk patients undergoing gynaecological pelvic surgery, and there were no adverse effects in either group.</description><identifier>ISSN: 0366-6999</identifier><identifier>DOI: 10.3760/cma.j.issn.0366-6999.2012.23.018</identifier><identifier>PMID: 23217397</identifier><language>eng</language><publisher>China: Department of Obstetrics and Gynecology, Luhe Teaching Hospital of Capital Medical University, Beijing 101100, China%Department of Obstetrics and Gynecology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China</publisher><subject>Aged ; Female ; Gynecologic Surgical Procedures - adverse effects ; Humans ; Intermittent Pneumatic Compression Devices ; Male ; Middle Aged ; Pelvis - surgery ; Stockings, Compression ; Thromboembolism - etiology ; Thromboembolism - prevention & control ; Venous Thrombosis - etiology ; Venous Thrombosis - prevention & control</subject><ispartof>Chinese medical journal, 2012-12, Vol.125 (23), p.4259-4263</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c305t-9319b0c9a81096333a606f1713a48a29206142e981f16f63c5dcae8042e726d73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://www.wanfangdata.com.cn/images/PeriodicalImages/zhcmj/zhcmj.jpg</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23217397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gao, Jie</creatorcontrib><creatorcontrib>Zhang, Zhen-Yu</creatorcontrib><creatorcontrib>Li, Zhan</creatorcontrib><creatorcontrib>Liu, Chong-Dong</creatorcontrib><creatorcontrib>Zhan, Yu-Xin</creatorcontrib><creatorcontrib>Qiao, Bao-Li</creatorcontrib><creatorcontrib>Sang, Cui-Qin</creatorcontrib><creatorcontrib>Guo, Shu-Li</creatorcontrib><creatorcontrib>Wang, Shu-Zhen</creatorcontrib><creatorcontrib>Jiang, Ying</creatorcontrib><creatorcontrib>Zhao, Na</creatorcontrib><title>Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study</title><title>Chinese medical journal</title><addtitle>Chin Med J (Engl)</addtitle><description>Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery. Studies on the mechanical prophylaxis of thromboembolism after gynaecological pelvic surgery are few. The aim of our study was to evaluate the effect of mechanical thromboembolism prophylaxis after gynaecological pelvic surgery using a combination of graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) or GCS alone.
The study was performed on 108 patients who were randomly assigned to two groups. The first group received GCS before the operation and IPC during the operation (IPC + GCS group). The second group received GCS before the operation (GCS group). To analyze the effect of the preventive measures and the laboratory examination on the incidence of thrombosis and to compare the safety of these measures, the incidence of adverse reactions was assessed.
The morbidity associated with DVT was 4.8% (5/104) in the IPC + GCS group and 12.5% (14/112) in the GCS group. There were significant statistical differences between the two groups. There were no adverse effects in either group.
The therapeutic combination of GCS and IPC was more effective than GCS alone for thrombosis prevention in high-risk patients undergoing gynaecological pelvic surgery, and there were no adverse effects in either group.</description><subject>Aged</subject><subject>Female</subject><subject>Gynecologic Surgical Procedures - adverse effects</subject><subject>Humans</subject><subject>Intermittent Pneumatic Compression Devices</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pelvis - surgery</subject><subject>Stockings, Compression</subject><subject>Thromboembolism - etiology</subject><subject>Thromboembolism - prevention & control</subject><subject>Venous Thrombosis - etiology</subject><subject>Venous Thrombosis - prevention & control</subject><issn>0366-6999</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UMtOwzAQ9AFES-EXkE-oBxJsb-vE3FDFS6rEpZyjreM0qZI42Akl8POktHBY7Wo0MzsaQqachRBJdqsrDLdh4X0dMpAykEqpUDAuQgEh4_EJGf_jI3Lu_ZYxMZ9H8oyMBAgegYrG5Hu1s7QyOse60FgOZ5vb1NPMOtrmzlZra4YpC1_Rxtkm70v8LDzFrDWObvoajbal3fyKG1N-FJr6zm2M6-8o7iW-MbotPswNdVintiq8Salvu7S_IKcZlt5cHveEvD0-rBbPwfL16WVxvww0sHkbKOBqzbTCmDMlAQAlkxmPOOAsRqEEk3wmjIp5xmUmQc9TjSZmAxYJmUYwIdcH3x3WGdabZGs7Vw8fk69cV9t9ZwKGxgbi9EAcYr93xrfJkFabssTa2M4nXEDEFEi-97w6Urt1ZdKkcUWFrk_-moUfl5x-7A</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Gao, Jie</creator><creator>Zhang, Zhen-Yu</creator><creator>Li, Zhan</creator><creator>Liu, Chong-Dong</creator><creator>Zhan, Yu-Xin</creator><creator>Qiao, Bao-Li</creator><creator>Sang, Cui-Qin</creator><creator>Guo, Shu-Li</creator><creator>Wang, Shu-Zhen</creator><creator>Jiang, Ying</creator><creator>Zhao, Na</creator><general>Department of Obstetrics and Gynecology, Luhe Teaching Hospital of Capital Medical University, Beijing 101100, China%Department of Obstetrics and Gynecology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>201212</creationdate><title>Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study</title><author>Gao, Jie ; Zhang, Zhen-Yu ; Li, Zhan ; Liu, Chong-Dong ; Zhan, Yu-Xin ; Qiao, Bao-Li ; Sang, Cui-Qin ; Guo, Shu-Li ; Wang, Shu-Zhen ; Jiang, Ying ; Zhao, Na</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-9319b0c9a81096333a606f1713a48a29206142e981f16f63c5dcae8042e726d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Female</topic><topic>Gynecologic Surgical Procedures - adverse effects</topic><topic>Humans</topic><topic>Intermittent Pneumatic Compression Devices</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pelvis - surgery</topic><topic>Stockings, Compression</topic><topic>Thromboembolism - etiology</topic><topic>Thromboembolism - prevention & control</topic><topic>Venous Thrombosis - etiology</topic><topic>Venous Thrombosis - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gao, Jie</creatorcontrib><creatorcontrib>Zhang, Zhen-Yu</creatorcontrib><creatorcontrib>Li, Zhan</creatorcontrib><creatorcontrib>Liu, Chong-Dong</creatorcontrib><creatorcontrib>Zhan, Yu-Xin</creatorcontrib><creatorcontrib>Qiao, Bao-Li</creatorcontrib><creatorcontrib>Sang, Cui-Qin</creatorcontrib><creatorcontrib>Guo, Shu-Li</creatorcontrib><creatorcontrib>Wang, Shu-Zhen</creatorcontrib><creatorcontrib>Jiang, Ying</creatorcontrib><creatorcontrib>Zhao, Na</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gao, Jie</au><au>Zhang, Zhen-Yu</au><au>Li, Zhan</au><au>Liu, Chong-Dong</au><au>Zhan, Yu-Xin</au><au>Qiao, Bao-Li</au><au>Sang, Cui-Qin</au><au>Guo, Shu-Li</au><au>Wang, Shu-Zhen</au><au>Jiang, Ying</au><au>Zhao, Na</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chin Med J (Engl)</addtitle><date>2012-12</date><risdate>2012</risdate><volume>125</volume><issue>23</issue><spage>4259</spage><epage>4263</epage><pages>4259-4263</pages><issn>0366-6999</issn><abstract>Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery. Studies on the mechanical prophylaxis of thromboembolism after gynaecological pelvic surgery are few. The aim of our study was to evaluate the effect of mechanical thromboembolism prophylaxis after gynaecological pelvic surgery using a combination of graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) or GCS alone.
The study was performed on 108 patients who were randomly assigned to two groups. The first group received GCS before the operation and IPC during the operation (IPC + GCS group). The second group received GCS before the operation (GCS group). To analyze the effect of the preventive measures and the laboratory examination on the incidence of thrombosis and to compare the safety of these measures, the incidence of adverse reactions was assessed.
The morbidity associated with DVT was 4.8% (5/104) in the IPC + GCS group and 12.5% (14/112) in the GCS group. There were significant statistical differences between the two groups. There were no adverse effects in either group.
The therapeutic combination of GCS and IPC was more effective than GCS alone for thrombosis prevention in high-risk patients undergoing gynaecological pelvic surgery, and there were no adverse effects in either group.</abstract><cop>China</cop><pub>Department of Obstetrics and Gynecology, Luhe Teaching Hospital of Capital Medical University, Beijing 101100, China%Department of Obstetrics and Gynecology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China</pub><pmid>23217397</pmid><doi>10.3760/cma.j.issn.0366-6999.2012.23.018</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Female Gynecologic Surgical Procedures - adverse effects Humans Intermittent Pneumatic Compression Devices Male Middle Aged Pelvis - surgery Stockings, Compression Thromboembolism - etiology Thromboembolism - prevention & control Venous Thrombosis - etiology Venous Thrombosis - prevention & control |
| title | Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study |
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