Postoperative vein thrombosis
The aim of the study: to study the structure, etiology and effectiveness of treatment of venous thrombosis developing within the postoperative period. Materials and methods. The study included 128 patients (mean age 60.24±4.13 years old) with clinical manifestations of venous thrombosis developing within the postoperative period. At the first examination, a survey and physical examination were carried out; ultrasound scanning was performed on a SIEMENS Acuson S2000 apparatus. The anticoagulant therapy, drugs accelerating venous return and phleboprotectors were recommended, and indications for surgery were identified. Observations were carried out after 7-10 days, 3, 6 and 12 months. Results. Three groups of patients were identified depending on the timing and localization of thrombosis. In patients of the first group, thrombosis was localized in the area of surgical intervention; the main role in the formation of thrombosis was played by the trauma of the operation. The second group had thrombosis associated with medical procedures, but not a direct result of the operation itself. The third group included patients with thrombosis in the "intact" zone, deep veins and varices of the superficial veins of the lower extremities, with prolonged immobilization or obvious hypodynamia in the postoperative period with an initially high and extremely high risk of thrombosis. It occurs in the patients presenting thrombosis that often occurred or manifested after discharge from the hospital. With a personalized duration of complex treatment, restoration of blood flow in the vein affected area was achieved in the absence of pronounced trophic changes, hemorrhagic complications, and recurrent thrombosis during the observation period. In hospitals, the proper prophylaxis was conducted at a high and extremely high risk of venous thromboembolism; its violations were allowed in patients with a moderate and low risk of venous thrombosis development. Outpatient doctors underestimated the risk of thrombosis and the diagnostic significance of its symptoms, and unreasonably changed the timing and regimens of therapy and prevention more often. It is necessary to familiarize specialists of different profiles with this topic with the inclusion of relevant materials in the individual plan of continuing education.