Prevalence and risk factor of post-operative lower extremities deep vein thrombosis in patients undergoing gynecologic surgery: a single-institute cross-sectional study

Lorchaivej, Supakorn; Suprasert, Prapaporn; Srisuwan, Tanop; Rujiwetpongstorn, Jintana

doi:10.1186/s12959-022-00376-0

Cited by 3 publications

(4 citation statements)

References 26 publications

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“…In our study, age had a positive predictive value for postoperative DVT in cervical cancer patients. This is in line with the results of Lorchaivej et al 26 This might be because vascular sclerosis, increased blood viscosity, and dysfunctional venous valves are common in seniors. 28 Also, it has been discovered that patients’ vascular endothelial cells produce more procoagulant compounds and fewer anticoagulant substances with the increase of age.…”

Section: Discussionsupporting

confidence: 92%

“… 23 – 25 In this study, individuals with cervical cancer had a postoperative DVT incidence of 24.8%. According to Lorchaivej et al, 26 11.6% of patients with gynecological cancers suffered postoperative DVT. However, retrospective research analyzed 135 gynecological cancer survivors and found that the incidence of DVT in lower limbs was 25.4%.…”

Section: Discussionmentioning

confidence: 98%

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Analysis of Risk Factors of Postoperative Lower Extremity Deep Venous Thrombosis in Patients With Cervical Cancer

Cheng,

Gao,

et al. 2024

Clin Appl Thromb Hemost

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Deep venous thrombosis (DVT) has a significant negative impact on surgical and tumor patient's safety and quality of life. There was no specific report on the incidence and risk factors of postoperative lower extremity DVT in cervical cancer patients. Analysis of the risk factors of postoperative DVT in patients with cervical cancer is of great clinical significance for prevention and treatment. We retrospectively analyzed 309 cervical cancer patients treated by the Hubei Cervical Cancer Prevention Center and used a logistic regression model to test the risk variables of postoperative lower extremity deep venous thrombosis in cervical cancer patients. By univariate analyses, the results of the study showed that the incidence of postoperative DVT was significantly increased in cervical cancer patients complicated with old age, obesity, high preoperative plasma D-dimer level, increased preoperative triglyceride level, chronic diseases (hypertension, diabetes, and cardiovascular disease), open surgery, long operation time, intraoperative blood transfusion, advanced tumor stage, and preoperative chemotherapy/radiotherapy. Advanced age, obesity, elevated preoperative D-dimer level, high preoperative triglyceride level, and open surgery were independent risk factors for postoperative lower extremity DVT in patients with cervical cancer by multivariate regression analyses (all P < .05). In gynecologic patients with cervical cancer, there is a high incidence of postoperative lower extremity DVT. Clinicians should develop systematic and comprehensive prevention and treatment measures for the risk factors to lower this morbidity and improve patient prognosis.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 98%

Analysis of Risk Factors of Postoperative Lower Extremity Deep Venous Thrombosis in Patients With Cervical Cancer

Cheng,

Gao,

et al. 2024

Clin Appl Thromb Hemost

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“…As surgery-related acute PPI occurs usually within the first 4–6 weeks after surgery and should therefore been assessed within the follow-up of 6 weeks, this possible limitation seems negligible [ 10 ]. As most surgery-associated complications, such as DVT or thromboembolism, occur within the early rehabilitation period (first 7 days [ 19 ]), most of those complications should have been assessed too, as average LOS and therefore clinical control in this study was 7 days.…”

Section: Discussionmentioning

confidence: 99%

Bilateral simultaneous knee arthroplasty shows comparable early outcome and complication rate as staged bilateral knee arthroplasty for patients scored ASA 1–3 if performed by a high-volume surgeon: a retrospective cohort study of 127 cases

Kirschbaum,

Hube,

Perka

et al. 2023

Arch Orthop Trauma Surg

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Background and purpose The study compares early outcomes after simultaneous and staged knee arthroplasty in patients with bilateral knee osteoarthritis (OA) to evaluate whether simultaneous bilateral TKA shows comparable early outcomes and complication rates to staged bilateral TKA. Methods A retrospective cohort study including all patients scheduled for primary TKA for bilateral knee OA (n = 127) was conducted. Patients received either simultaneous (n = 53, 41.7%) or staged (n = 74, 58.3%) bilateral TKA by a single, high-volume surgeon—depending on their individual preference. Demographic data, haemoglobin drop (Hb), length of stay (LOS), operation time, 30-day complication rate and achievement of rehabilitation key points were evaluated. Results There was no difference between the groups concerning age, sex, BMI or complication rate. ASA scoring was better in the simultaneous group [2.2, (15.1% ASA 1, 49.1% ASA 2, 35.8% ASA 3) vs. 2.4 (2.7% ASA 1, 51.4% ASA 2, 45.9% ASA 3)]. Average LOS was 7.8 ± 2.1 days for simultaneous TKA, 7.4 ± 1.7 days for single procedure of staged group (p < 0.453) and 14.7 ± 3.1 days if combined (p < 0.001). Cumulative Hb loss was significantly higher in the staged group (3.8 ± 1.2 g/dl vs. 2.4 ± 0.8 g/dl, p < 0.001). Detailed comparison of early outcome parameters between staged and simultaneous procedure depending on ASA score only revealed slightly slower assessment of stairs (p < 0.001) and increased Hb drop per surgery in case of simultaneous procedure (p < 0.011) if ASA score was ≥ 2. Only patients scored ASA 3 demonstrated a significant longer LOS per procedure in simultaneous group (8.5 ± 2.4 vs.7.3 ± 1.6 days, p = 0.034). Interpretation Simultaneous bilateral TKA results in comparable early outcome and complication rate than staged bilateral procedure—even for patients scored ASA 3. Level of evidence Level IV.

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“…It can therefore be assumed that most of the sintering as well as intraoperative occult fractures would have been identified during the six week follow-up. As most surgery-associated complications, such as DVT or thromboembolism, occur within the early rehabilitation period (first 7 days [ 35 ]), most of those complications should have been assessed too, as average LOS and therefore clinical control in this study was 7 days. Another limitation might represent the fact that postoperative Hb drop is measured the day after surgery and was not regularly controlled in further follow-up even if some literature demonstrated major Hb drop occurs at day three or four after surgery [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral simultaneous hip arthroplasty shows comparable early outcome and complication rate as staged bilateral hip arthroplasty for patients scored ASA 1-3 if performed by a high-volume surgeon

Kirschbaum

Hube

Perka

et al. 2023

International Orthopaedics (SICOT)

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Purpose The aim of this study was to compare early outcomes after simultaneous and staged hip arthroplasty (THA) in patients with bilateral symptomatic pathology. Methods We conducted a retrospective cohort study including all patients scheduled for primary THA for bilateral hip osteoarthritis (OA, n = 290). Patients either received simultaneous (n = 152, 52.4%) or staged (n = 138, 47.6%) bilateral THA based on individual preference. All operations (n = 428) were performed by one single, high-volume surgeon. Demographic data (e.g., age, ASA score) as well as perioperative parameters (haemoglobin drop (Hb), red blood cell transfusion, length of stay (LOS), operation time, six week complication rate and achievement of inpatient rehabilitation key points) were evaluated. Results Patients in the simultaneous bilateral THA group were younger (62.8 ± 8.9 vs. 65 ± 9.7 years, p = 0.022) and had lower ASA scores (1.8, (34.2% ASA 1, 55.3% ASA 2, 37.2% ASA 3) vs. 2.0 (18.8% ASA 1, 61.6% ASA 2, 19.6% ASA 3)) than the staged group. While the average LOS was 7.1 ± 1.7 days for simultaneous bilateral THA, the combined LOS for the staged group was 12.9 ± 2.4 days (p < 0.001). The cumulative operation time in the simultaneous bilateral THA group was 61.1 ± 11.5 min and 57.6 ± 7.3 min in the staged group (p < 0.015). Cumulative Hb loss was significantly higher in the staged group (2.1 ± 7.2 g/dl vs. 3.7 ± 1.3 g/dl, p < 0.001). No significant differences were found concerning the complication rate or early inpatient rehabilitation. Conclusion Simultaneous bilateral hip arthroplasty in patients with symptomatic bilateral hip osteoarthritis is as safe and successful as a staged procedure if performed by a high-volume surgeon.

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Prevalence and risk factor of post-operative lower extremities deep vein thrombosis in patients undergoing gynecologic surgery: a single-institute cross-sectional study

Cited by 3 publications

References 26 publications

Analysis of Risk Factors of Postoperative Lower Extremity Deep Venous Thrombosis in Patients With Cervical Cancer

Analysis of Risk Factors of Postoperative Lower Extremity Deep Venous Thrombosis in Patients With Cervical Cancer

Bilateral simultaneous knee arthroplasty shows comparable early outcome and complication rate as staged bilateral knee arthroplasty for patients scored ASA 1–3 if performed by a high-volume surgeon: a retrospective cohort study of 127 cases

Bilateral simultaneous hip arthroplasty shows comparable early outcome and complication rate as staged bilateral hip arthroplasty for patients scored ASA 1-3 if performed by a high-volume surgeon

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