Occurrence and Course of Thrombosis following Prostatectomy

Becker, Judith A.; Borgström, S; Saltzman, Georg-Fredrik

doi:10.1177/028418517001000608

Cited by 33 publications

(8 citation statements)

References 3 publications

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“…Information to this effect regarding transvesical prostatectomy has mainly been reported by Swedish investigators. Becker et al (1970), using phlebography for the diagnosis of DVT, reported an incidence of 21 per cent in 187 patients who underwent the operation of transvesical prostatectomy. As regards the incidence of DVT following retropubic prostatectomy, Nicolaides et al (1972), using the lZ5I-fibrinogen test, reported an incidence of 47.6 per cent in 21 patients, and Gordon-Smith et a1 (1972), using the same test, reported an incidence of 28 per cent in 32 patients.…”

Section: Discussionmentioning

confidence: 99%

Prostatectomy and deep vein thrombosis in Sudanese patients

Hassan

Rahman

1974

Journal of British Surgery

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One hundred and four Sudanese patients who had undergone the operation of prostatectomy (transvesical or retropubic but not transurethral) in Khartoum Civil Hospital were investigated for evidence of postoperative deep vein thrombosis ( D V T ) by the use of the '251-fibrinogen test. Of these 104 patients, 10 had evidence of D VT, i.e. an incidence of 9-6 per cent. This diflers sharply from the incidence (21-47 per cent) reported from Swedish and British hospitals, and further confirms our previous findings that the incidence of postoperative DVT in Sudanese patients is significantly lower than in European patients.

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Section: Discussionmentioning

confidence: 99%

Prostatectomy and deep vein thrombosis in Sudanese patients

Hassan

Rahman

1974

Journal of British Surgery

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“…Most authors agree, however, that recanalization can be seen within days in patients on fibrinolytic therapy, within weeks to months in patients on heparin-dicoumarol treatment and within months to years in patients without therapy (Bergvall & Hjelmstedt, 1968;Becker, Borgstrom & Saltzman, 1970;Thomas & McAllister, 1971;Common, et al, 1976;Arnesen, Hoiseth & Ly, 1982;Rabinov & Paulin, 1983). In addition, small and distal thrombi have more often disappeared on repeat phlebograms than femoral and iliac thrombi (Young, Thomas & Browse, 1974;May & Nissl, 1979).…”

Section: Discussionmentioning

confidence: 99%

Follow‐up of circulatory changes secondary to deep venous thrombosis with special regards to radionuclide tests

Edenbrandt

Nilsson

Ohlin

1986

Clinical Physiology

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The influence of circulatory changes, which are secondary to deep venous thrombosis (DVT) in the leg, on result of radionuclide tests was studied in eight patients. Strain gauge plethysmography, a radionuclide blood-pool test and phlebography were performed both in the acute phase and during recovery up to 6 months after the initial admission. Morphological and functional changes were correlated with results from repeatedly performed 99Tcm-plasmin tests, a test currently used for diagnosis of DVT. In the acute phase, the thrombotic leg showed an increase in pooled blood and, in the case of proximal thrombosis, also impaired venous outflow. During the 6-month follow-up complete recanalization was observed in three patients and partial recanalization in five. The circulatory changes were found to recover progressively and earlier than the morphological changes. The 99Tcm-plasmin test was pathological at admission in all patients. It was normalized in parallel with plethysmography and blood-pool test results, at a time when morphological recovery was still incomplete. These findings confirm that a positive 99Tcm-plasmin test reflects haemodynamic changes which are secondary to the DVT rather than a specific binding of the radiopharmaceutical to the thrombus. The 99Tcm-plasmin test was normalized from 1 to more than 26 weeks after an acute DVT. This finding is of practical importance when using radionuclide tests for evaluation of acute recurrent DVT.

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“…Bergvall & Hjelmstedt, on the other hand, found the process of recanalization was slow in patients with tibial fractures (more than 3 4 years). Becker et al (1970) performed a phlebographic follow-up an average of 33 weeks after postprostatectomy deep vein thrombosis and found residual pathological findings in half of the cases. But they did not relate the phlebographic findings to clinical symptoms and the possibility of further regression must be kept in mind.…”

Section: Discussionmentioning

confidence: 99%