Risk factors of deep vein thrombosis of lower extremity in patients undergone gynecological laparoscopic surgery: what should we care

Abstract

Background Deep vein thrombosis (DVT) significantly influences the prognosis of patients. It’s necessary to analyze the risk factors for postoperative DVT in patients undergone gynecological laparoscopic surgery. Methods Patients who underwent gynecological laparoscopic surgery from January 1, 2018 to May 31, 2020 were included. The characteristics and clinical data of DVT and non DVT patients were collected and analyzed. Logistic regression analysis was performed to identify the risk factors of DVT in patients undergone gynecological laparoscopic surgery. Results A total of 355 patients undergone gynecological laparoscopic surgery were included, the incidence of postoperative DVT was 11.55%. There were significant differences in the age, hypertension, D-dimer, duration of surgery, intraoperative pneumoperitoneum pressure, duration of days in bed between DVT and non-DVT groups (all p < 0.05), and there were no significant difference in the BMI, diabetes, hyperlipidemia, ASA classification and intraoperative blood transfusion between DVT and non-DVT groups (all p > 0.05). Age > 50 years (OR 4.246, 95% CI 1.234–7.114), hypertension (OR 2.219, 95% CI 1.153–4.591), D-dimer > 0.5 mg/L (OR 3.914, 95% CI 1.083–5.229), duration of surgery ≥ 60 min (OR 2.542, 95% CI 1.101–4.723), intraoperative pneumoperitoneum pressure ≥ 15 mmHg (OR 3.845, 95% CI 1.119–5.218), duration of days in bed > 3 days (OR 1.566, 95% CI 1.182–1.994) was the independent risk factors for DVT in patients undergone gynecological laparoscopic surgery (all p < 0.05). Conclusions The incidence of postoperative DVT in patients undergone gynecological laparoscopic surgery is high, and those high-risk factors should be targeted to intervene in order to reduce the postoperative DVT.

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

“…Laparoscopic surgery has been demonstrated to have a greater risk of DVT than laparotomy. This is most likely owing to the high intraoperative pneumoperitoneum pressures employed in laparoscopy, which are known to increase the risk of DVT [ 13 ].…”

The deep vein thrombosis of lower limb after total hip arthroplasty: what should we care

“…We routinely conducted the mechanical post-operative DVT preventions for all patients as previous report[ 15 ]. We would encourage patients get out of bed as early as possible, and to massage the lower limb frequently and observe the status regularly.…”

Distal Deep Vein Thrombosis in a Patient Cured of Severe COVID-19 Pneumonia at Jimma, Oromia, Ethiopia 2021: A Rare Case Report

“… 1 Several risk factors have been specifically studied and associated with venous thrombotic events. 2 DVT is high in postoperative patients, 3 older ages, 4 hypertensive, 5 admitted to ICU, and insertion of central venous catheters. 6 Increases in the inflammatory response, hypoxia, immobilization, and disseminated intravascular coagulation (DIC) caused by COVID-19 are suggested mechanisms of thrombus formation.…”