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Updated: May 9, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Venous thromboembolism prophylaxis for urological operations].
1St. Josef-Hospital, Hospitalstr. 45, 53840 Troisdorf, Deutschland. urologie@josef-hospital.de
Der Urologe. Ausg. A
|July 9, 2013
Summary
Preventing deep vein thrombosis (DVT) and pulmonary embolism (PE) is crucial in operative medicine. Consistent prophylaxis, including early mobilization and medication, significantly reduces the risk of these dangerous conditions.
Area of Science:
- Medical Science
- Clinical Medicine
- Vascular Medicine
Context:
- Deep vein thrombosis (DVT) and pulmonary embolism (PE) are interconnected conditions.
- Without prophylaxis, DVT occurs in 14-32% of surgical patients, with PE rates of 0.8-6.2%.
Purpose:
- To outline diagnostic and therapeutic strategies for DVT and PE.
- To emphasize the importance of consistent prophylaxis in reducing VTE occurrence.
Summary:
- Diagnostic methods include D-dimer, compression sonography, phlebography, CT angiography, and echocardiography.
- Immediate treatment involves heparinization or thrombolysis.
- Prophylaxis includes early mobilization, compression stockings, and low molecular weight heparins for high-risk patients, continuing for 4-5 weeks post-op.
Impact:
- Consistent prophylaxis can significantly lower the incidence of DVT and PE.
- Risk assessment should consider both dispositional and exponential risk factors.
- Effective VTE prophylaxis improves patient outcomes following major surgery.
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