Abstract
BackgroundTo investigate the incidence of pulmonary embolism and risk factors for this condition after obstetric and gynecologic surgery, as well as the efficacy of intermittent pneumatic compression.MethodsA total of 6,218 patients operated at Keio University Hospital excluding obstetric or infertility-related surgery and uterine cervical conization were evaluated retrospectively to determine the preventive effect of intermittent pneumatic compression on postoperative pulmonary embolism.ResultsPulmonary embolism occurred in 42 patients (0.68%). Multivariate analysis showed that malignancy, blood transfusion, and a body mass index ≥25 kg/m2 or ≥28 kg/m2 were independent risk factors for postoperative pulmonary embolism. A significantly lower incidence of pulmonary embolism occurred in patients receiving pneumatic compression postoperatively versus those without it. Among gynecologic malignancies, endometrial cancer was a significant risk factor for pulmonary embolism.ConclusionPreventive measures, including intermittent pneumatic compression, should be taken to avoid postoperative pulmonary thromboembolism in the gynecology field.
Highlights
To investigate the incidence of pulmonary embolism and risk factors for this condition after obstetric and gynecologic surgery, as well as the efficacy of intermittent pneumatic compression
venous thromboembolism (VTE) is associated with pulmonary thromboembolism (PTE), which causes death in nearly 50% of patients if untreated and which appears to be caused by embolism arising from deep venous thrombosis
We retrospectively investigated the incidence and risk factors for PTE after obstetric and gynecologic surgery performed at Keio University Hospital, and evaluated the usefulness of intermittent pneumatic compression (IPC) for prevention of postoperative PTE
Summary
To investigate the incidence of pulmonary embolism and risk factors for this condition after obstetric and gynecologic surgery, as well as the efficacy of intermittent pneumatic compression. Postoperative venous thromboembolism (VTE) did not attract much attention in Japan because its incidence was lower than in the USA and Europe [1]. An increasing number of patients have recently been diagnosed with VTE in Japan along with improved detection thanks to progress in imaging technologies and increasing medical interest in VTE. VTE is associated with pulmonary thromboembolism (PTE), which causes death in nearly 50% of patients if untreated and which appears to be caused by embolism arising from deep venous thrombosis. According to the statistics compiled by the (page number not for citation purposes).
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