| Incidence of deep vein thrombosis after varicose vein surgery. | |
| | |
MedLine Citation:
|
PMID: 15386324 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Varicose vein surgery is generally considered to have little risk of postoperative deep vein thrombosis (DVT). This prospective study examined the incidence of DVT in patients undergoing varicose vein surgery. METHODS: Lower leg veins were assessed before operation by duplex ultrasonography in 377 patients, and reassessed 2-4 weeks after surgery, and again at 6 and 12 months. Patients were instructed to contact a physician if symptoms consistent with DVT occurred before the scheduled follow-up appointment. Preoperative prophylaxis (a single dose of subcutaneous heparin) was left to the discretion of the vascular surgeon. RESULTS: DVT was detected in 20 (5.3 per cent) of the 377 patients. Of these, only eight were symptomatic and no patient developed symptoms consistent with pulmonary embolus. Eighteen of the 20 DVTs were confined to the calf veins. Subcutaneous heparin did not alter the outcome. No propagation of thrombus was observed and half of the DVTs had resolved without deep venous reflux at 1 year. CONCLUSION: The incidence of DVT following varicose vein surgery was higher than previously thought, but these DVTs had minimal short- or long-term clinical significance. |
| | |
Authors:
|
A M van Rij; J Chai; G B Hill; R A Christie |
Related Documents
:
|
4016804 - Transcatheter thrombolysis in cancer patients. 20431444 - Nurse-driven intravenous heparin protocol: quality improvement initiative. 10904464 - Low-molecular-weight heparin prophylaxis using dalteparin in close proximity to surgery... 8353584 - Clinical safety and cost of heparin titration using bedside activated clotting time. 17382134 - Comparison of outcomes of different varicocelectomy techniques: open inguinal, laparosc... 22865104 - The effects of botulinum toxin injections into the cricopharyngeus muscle of patients w... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The British journal of surgery Volume: 91 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 2004 Dec |
Date Detail:
|
Created Date: 2004-12-03 Completed Date: 2004-12-23 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
|
Languages: eng Pagination: 1582-5 Citation Subset: AIM; IM |
Copyright Information:
|
Copyright 2004 British Journal of Surgery Society Ltd. |
Affiliation:
|
Department of Surgery, Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin, New Zealand. andre.vanrij@stonebow.otago.ac.nz |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Female Follow-Up Studies Humans Incidence Male Middle Aged Postoperative Complications / epidemiology*, ultrasonography Prospective Studies Risk Factors Ultrasonography, Doppler, Duplex Varicose Veins / surgery* Venous Thrombosis / epidemiology*, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Randomized clinical trial of continuous sutures or non-penetrating clips for radiocephalic arteriove...
Next Document: Robot-assisted abdominal surgery.