World Journal of Laparoscopic Surgery

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VOLUME 2 , ISSUE 1 ( January-April, 2009 ) > List of Articles

RESEARCH 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 2009; 2 (1):20-22.

DOI: 10.5005/jp-journals-10007-1006

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2009; The Author(s).


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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  1. Pathophysiology and diagnosis of deep vein thrombosis. Semi Nucl Med 2001 Apr;31(2):90-101.
  2. Etiology of DVT of leg. Acta Med Austriaca 1991;18(3):68-72.
  3. Venous Echo Doppler: A future standard test in the diagnosis of thrombosis of lower limbs. Ann Fr Anaesth Reanim 1992;11(3):370-76.
  4. HK Diagnosis of DVT: Accuracy of colour Doppler ultrasound compared with venography. Singapore Med J 1995;36:362-66.
  5. Singapore Med Journal 1995.
  6. Risk factors and clinical impact of postoperative symptomatic venous thromboembolism. J Vasc Surg 2007;45(2),335-42.
  7. Review laparoscopic procedures as a risk factor of deep vein thrombosis, superficial ascending thrombophlebitis and pulmonary embolism—Case report and review of literature. Euro J Med Res 2004 Sept 29;9(9):417-22.
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