Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 4, Number 3, June 2011, pages 107-113


Low Risk of Thromboembolic Complications After Fast-Track Abdominal Surgery With Thrombosis-Prophylaxis Only During Hospital Stay

Tables

Table 1. Patient Characteristics and Type of Surgery
 
All patients
(n = 98)
Venography
(n = 17)
Age (years)67 (19 - 90)71 (44 - 89)
Weight (kg)67 (35 - 124)66 (35 - 124)
Gender
  Male40 (40.8%)8 (47.1%)
  Female58 (59.2%)9 (52.9%)
ASA-score
  ASA 16 (6.1%)0
  ASA 269 (70.4%)13 (76.5%)
  ASA 323 (23.5%)4 (23.5%)
Indication for surgery
  Cancer77 (78.6%)11 (64.7%)
  Benign disease21 (21.4%)6 (35.3%)
Type of surgery
  Right hemicolectomy52 (53.1%)10 (58.8%)
  Left hemicolectomy + sigmoid resection30 (30.6%)2 (11.8%)
  Subtotal colectomy5 (5.1%)0
  Stoma closure6 (6.1%)2 (11.8%)
  Low anterior resection4 (4.1%)3 (17.6%)
  Enterography1 (1.0%)0

 

Table 2. Complications and Hospital Stay
 
All patients
(n = 98)
Venography
(n = 17)
Complications31 (31.6%)4 (23.5%)
  Prolonged nausea/vomiting7 (7%)1 (5.9%)
  Urinary tract infection6 (6%)1 (5.9%)
  Pneumonia6 (6%)0
  Superficial wound infection5 (5%)1 (5.9%)
  Intra-abdominal abscess/septicemia6 (6%)1 (5.9%)
  Anastomotic leakage8 (8%)1 (5.9%)
  Cardiac infarction1 (1%)0
  Thromboembolic complications in hospital00
  Thromboembolic events after discharge1 (1%)0
  Mortality1 (1%)0
Hospital stay3 (2 - 40)3 (3 - 6)
Readmission15 (15.3%)3 (17.6%)

 

Table 3. Disposition for Thromboembolism and Thromboprophylaxis
 
All patients
(n = 98)
Venography
(n = 17)
Previous history of DVT (n)-2
Thromboembolic disposition (n)-7 (41.2%)
  AT-III deficiency-1 (5.9%)
  Protein S deficiency-0
  Protein C deficiency-0
  Factor V Leiden mutation-1 (5.9%)
  Cardiolipin antibodies-2 (11.8%)
  Lupus anticoagulants-4 (23.5%)
  Prothrombin mutation-0
Days with LMWH
  4 days or less49 (50%)13 (76.4%)
  5 days14 (14.3%)2 (11.8%)
  6 days14 (14.3%)0
  7 days7 (7.1%)2 (11.8%)
  > 7 days13 (13.3%)0
DVT by venography-0
DVT by clinical exam day 800
DVT by clinical exam day 3000
PE during the first 30 days10