INCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS

Objective: To determine the incidence of clinically detectable deep venous thrombosis (DVT) in patients undergoing laparoscopic cholecystectomy without a standard DVT prophylaxis regimen. Study Design: Prospective observational study. Place and Duration of Study: All the patients included in t...

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Autores principales:	Muhammad Imran, Ammadudin Nasir, Tajammul Hussain, Hafeez Ur Rehman
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	deep venous thrombosis laparoscopic cholecystectomy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8d109f3cc9924de0a8f87ffc645ffaae
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spelling	oai:doaj.org-article:8d109f3cc9924de0a8f87ffc645ffaae2021-12-03T06:35:30ZINCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS0030-96482411-8842https://doaj.org/article/8d109f3cc9924de0a8f87ffc645ffaae2018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/5359/2941https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the incidence of clinically detectable deep venous thrombosis (DVT) in patients undergoing laparoscopic cholecystectomy without a standard DVT prophylaxis regimen. Study Design: Prospective observational study. Place and Duration of Study: All the patients included in the study underwent laparoscopic cholecystectomy from Nov 2014 to Nov 2016 in Hepatobiliary department Pak Emirates Military Hospital Rawalpindi under general anaesthesia. Material and Methods: The study was carried out on 723 patients undergoing laparoscopic cholecystectomy. Data was collected on a specially designed proforma. Quantitative D-dimers and 3 risk stratification (Wells score) for deep venous thrombosis was done 24 hrs preoperatively 24 hrs, 72 hrs and 14 days postoperatively. Results: The study population comprised of 723 patients. Twenty seven patients were converted to undergo open cholecystectomy and were excluded from the study. Forteen patients were lost to follow-up. 03 pts with preop high probability of DVT were excluded from further postoperative screening. During postoperative screening, 05 out of 679 pts had a Wells score of more than 03, which showed a high probability of DVT in these patients. Out of these 05 pts, four had raised D-dimers as well. For definitive diagnosis, all these 05 patients underwent duplex scan, which confirmed deep venous thrombosis. Conclusion: We conclude that there is no significant risk of DVT after laparoscopic cholecystectomy. Thromboprophylaxis is not recommended in patients undergoing elective laparoscopic cholecystectomy without any risk factors of DVT. Preoperative risk stratification for DVT and D-dimers are effective screening tools for pts undergoing laparoscopic cholecystectomy.Muhammad ImranAmmadudin NasirTajammul HussainHafeez Ur RehmanArmy Medical College Rawalpindiarticledeep venous thrombosislaparoscopic cholecystectomyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1230-1234 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	deep venous thrombosis laparoscopic cholecystectomy Medicine R Medicine (General) R5-920
spellingShingle	deep venous thrombosis laparoscopic cholecystectomy Medicine R Medicine (General) R5-920 Muhammad Imran Ammadudin Nasir Tajammul Hussain Hafeez Ur Rehman INCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS
description	Objective: To determine the incidence of clinically detectable deep venous thrombosis (DVT) in patients undergoing laparoscopic cholecystectomy without a standard DVT prophylaxis regimen. Study Design: Prospective observational study. Place and Duration of Study: All the patients included in the study underwent laparoscopic cholecystectomy from Nov 2014 to Nov 2016 in Hepatobiliary department Pak Emirates Military Hospital Rawalpindi under general anaesthesia. Material and Methods: The study was carried out on 723 patients undergoing laparoscopic cholecystectomy. Data was collected on a specially designed proforma. Quantitative D-dimers and 3 risk stratification (Wells score) for deep venous thrombosis was done 24 hrs preoperatively 24 hrs, 72 hrs and 14 days postoperatively. Results: The study population comprised of 723 patients. Twenty seven patients were converted to undergo open cholecystectomy and were excluded from the study. Forteen patients were lost to follow-up. 03 pts with preop high probability of DVT were excluded from further postoperative screening. During postoperative screening, 05 out of 679 pts had a Wells score of more than 03, which showed a high probability of DVT in these patients. Out of these 05 pts, four had raised D-dimers as well. For definitive diagnosis, all these 05 patients underwent duplex scan, which confirmed deep venous thrombosis. Conclusion: We conclude that there is no significant risk of DVT after laparoscopic cholecystectomy. Thromboprophylaxis is not recommended in patients undergoing elective laparoscopic cholecystectomy without any risk factors of DVT. Preoperative risk stratification for DVT and D-dimers are effective screening tools for pts undergoing laparoscopic cholecystectomy.
format	article
author	Muhammad Imran Ammadudin Nasir Tajammul Hussain Hafeez Ur Rehman
author_facet	Muhammad Imran Ammadudin Nasir Tajammul Hussain Hafeez Ur Rehman
author_sort	Muhammad Imran
title	INCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS
title_short	INCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS
title_full	INCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS
title_fullStr	INCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS
title_full_unstemmed	INCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS
title_sort	incidence of deep venous thrombosis in laparoscopic cholecystectomy without thromboprophylaxis
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/8d109f3cc9924de0a8f87ffc645ffaae
work_keys_str_mv	AT muhammadimran incidenceofdeepvenousthrombosisinlaparoscopiccholecystectomywithoutthromboprophylaxis AT ammadudinnasir incidenceofdeepvenousthrombosisinlaparoscopiccholecystectomywithoutthromboprophylaxis AT tajammulhussain incidenceofdeepvenousthrombosisinlaparoscopiccholecystectomywithoutthromboprophylaxis AT hafeezurrehman incidenceofdeepvenousthrombosisinlaparoscopiccholecystectomywithoutthromboprophylaxis
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INCIDENCE OF DEEP VENOUS THROMBOSIS IN LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT THROMBOPROPHYLAXIS

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