Thromboprophylaxis in Abdominopelvic Oncosurgery, Single Center Experience

Sunil Subhash Joshi; Ann Grace

doi:10.51131/IJPCCR/v4i1.23.5

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International Journal of Preclinical and Clinical Research

DOI: 10.51131/IJPCCR/v4i1.23.5

Year: 2023, Volume: 4, Issue: 1, Pages: 1-5

Original Article

Thromboprophylaxis in Abdominopelvic Oncosurgery, Single Center Experience

Sunil Subhash Joshi^{✉ 1} , Ann Grace ^2,3

¹Professor of Surgery, Chikka Ballapura Institute of Medical Sciences, Chikka Ballapura, Karnataka, 562101, India

² St Johns Medical College, Bangalore, Karnataka, India

³ Consultant General Surgeon, Jyothi Hospital Belthangady. Mangalore, Mangalore, Karnataka, India

Corresponding author ✉: [email protected]

Received Date:03 March 2023, Accepted Date:11 March 2023, Published Date:25 March 2023

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Venous thromboembolism is a serious and common condition in especially those undergoing major oncosurgery. Appropriate thromboprophylaxis results in significant reduction in morbidity and mortality associated with it. The objective of this study was to assess patterns of thromboprophylaxis in this subset and prospective development of VTE in these patients at a tertiary medical center. After ethical clearance, 100 eligible patients undergoing abdominopelvic oncosurgery at St John’s Medical College Bangalore were prospectively studied for thromboprophylaxis and Doppler screening of lower extremity DVT at 2-3 weeks post procedure. Data was analyzed using SPSS 20.0. Majority of the patients (73%) received appropriate thromboprophylaxis and all of them received some prophylaxis using heparins. Postoperative asymptomatic DVT was seen in 4% of patients. Higher age, gastrointestinal tumors, duration of anesthesia and palliative procedures indicating advanced stage strongly correlated with incidence of DVT. VTE is a significant problem associated with abdominopelvic oncosurgery and thromboprophylaxis is effective in reducing morbidity and mortality associated with it. Extended prophylaxis should be considered in patients having advanced disease.

Keywords: Deep vein thrombosis, Anticoagulation, Thromboprophylaxis, Oncosurgery

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Copyright

© 2023 Joshi & Grace. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published By Basaveshwara Medical College & Hospital, Chitradurga, Karnataka