Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised...

Area of Science:

• Vascular Surgery
• Thromboprophylaxis
• Gynecological Surgery

Background:

• Venous thromboembolism (VTE) is a significant postoperative complication, particularly after gynecological pelvic surgery.
• Limited research exists on mechanical prophylaxis for VTE in this patient population.
• Mechanical prophylaxis aims to prevent VTE by improving blood flow and reducing stasis.

Purpose of the Study:

• To evaluate the efficacy of combined graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) versus GCS alone for VTE prophylaxis.
• To assess the incidence of deep vein thrombosis (DVT) and adverse reactions in patients undergoing gynecological pelvic surgery.

Main Methods:

• A randomized study involving 108 patients undergoing gynecological pelvic surgery.
• Group 1 received GCS preoperatively and IPC intraoperatively (IPC + GCS).
• Group 2 received GCS preoperatively (GCS alone).
• Incidence of thrombosis and adverse reactions were assessed.

Main Results:

• The incidence of DVT was significantly lower in the IPC + GCS group (4.8%) compared to the GCS group (12.5%).
• Statistical analysis confirmed a significant difference in DVT rates between the two groups.
• No adverse effects were reported in either treatment group.

Conclusions:

• The combination of GCS and IPC is more effective than GCS alone in preventing thrombosis after gynecological pelvic surgery.
• This combined mechanical prophylaxis strategy is safe and well-tolerated in high-risk patients.
• Mechanical prophylaxis plays a crucial role in reducing VTE morbidity in surgical patients.