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Khirurgiia (Mosk) ; (2): 52-58, 2024.
Article in Russian | MEDLINE | ID: mdl-38344960

ABSTRACT

OBJECTIVE: To analyze the comprehensive program for prevention of thromboembolic complications in orthopedic patients. MATERIAL AND METHODS: We have analyzed thromboembolic complications in orthopedic patients after surgeries on large joints over the past 5 years (2018-2022). CONCLUSION: A comprehensive approach to prevention and treatment of thromboembolic complications including ultrasound, early surgical prevention of pulmonary embolism can significantly improve postoperative outcomes after joint replacement surgery. Vacuum aspiration retrograde thrombectomy is effective, feasible and safe for acute ilio-femoral venous thrombosis reducing hospital-stay (p=0.0124) and restoring vein patency. Widespread thromboembolic complications, especially for pulmonary embolism in 2022, are likely due to a new coronavirus infection and require careful screening of patients with risk factors with appropriate preventive antithrombotic therapy.


Subject(s)
Pulmonary Embolism , Venous Thrombosis , Humans , Venous Thrombosis/diagnosis , Venous Thrombosis/etiology , Venous Thrombosis/prevention & control , Pulmonary Embolism/diagnosis , Pulmonary Embolism/etiology , Pulmonary Embolism/prevention & control , Veins , Thrombectomy/adverse effects , Risk Factors , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Postoperative Complications/prevention & control
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