World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 2 ( May-August, 2010 ) > List of Articles

REVIEW ARTICLE

Evaluation of Risk Factors and Preventive Measures for Deep Vein Thrombosis of Lower Limbs in Minimal Access Surgery

Shilpa Sapre

Citation Information : Sapre S. Evaluation of Risk Factors and Preventive Measures for Deep Vein Thrombosis of Lower Limbs in Minimal Access Surgery. World J Lap Surg 2010; 3 (2):81-84.

DOI: 10.5005/jp-journals-10007-1088

Published Online: 01-08-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Deep vein thrombosis of lower limbs affects 1-2% of hospitalized patients. Interplay of factors like vessel wall injury, venous pooling, decreased blood flow and state of hypercoagulability predispose to thrombi formation.

In conventional surgery as compared to the minimal access surgery, the prolonged surgery time, longer hospital stay, prolonged immobilization and enhanced tissue disruption favors thrombi formation in lower limbs. However, the risk of deep vein thrombosis in laparoscopic surgery is related to the high intra-abdominal pressure and the reverse Trendelenburg position causing venous pooling in lower limbs particularly in upper gastrointestinal surgery.


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