Prevention of venous thromboembolic complications in oncological surgery (review of the literature)

The multifactorial nature of the problem of venous thromboembolic complications (VTEC) in oncological surgery underlies that, despite the widespread introduction of risk criteria and routine thromboprophylaxis in practice, it is not possible to completely prevent these postoperative complications. Ensuring the highest level of patient safety for VTEC is one of the priority tasks of the surgical service specialists. Surgical practice requires the development of reasonable criteria for prolonged medical prophylaxis of VTEC and the introduction of methods for the early detection of latent venous thrombosis

OPTIMIZATION OF PROPHYLAXIS OF HYPERCOAGULATION COMPLICATIONS IN ONCOLOGICAL SURGERY

The authors investigate the results of prophylaxis of venous thromboembolic complications (VTC) during 24 years in oncological surgery. The multicentric study shows that common frequency of occurrence of such VTC was reduced due to period of routine prophylaxis of VTC to 3,4%. The strategy of active revision and escalation of preventive measures in the third period of study in comparison with the second period resulted in the decrease of VTC. Patients with moderate risk degree had the results from 3,2% to 1%, patients with high risk degree moved from 4,1% to 1,3%. The fatal thromboembolism of the lung artery was 0,1%