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Prophylactic inferior vena cava clipping in colonic surgery

 

作者: Roberto Kusminsky,   Salvador Medina,   A. AbuRahma,   James Boland,  

 

期刊: Diseases of the Colon & Rectum  (OVID Available online 1982)
卷期: Volume 25, issue 2  

页码: 108-111

 

ISSN:0012-3706

 

年代: 1982

 

出版商: OVID

 

数据来源: OVID

 

摘要:

&NA;Incidental prophylactic inferior vena cava clipping (IVCC) has been used in 30 patients undergoing colonic operations. The results obtained compare quite favorably with other methods of preventing postoperative pulmonary embolism (PE). This procedure would be justified in patients with a postoperative PE risk greater than 5 to 10 per cent. Practical criteria to identify this group of patients are presented, and the value of utilizing a risk profile is emphasized. There is no mortality from the procedure itself, and the morbidity was limited to lower‐extremity edema in three patients who otherwise could have been expected to develop PE. The edema lasted two months in one patient and cleared rapidly in the other two. Attesting to the procedure's effectiveness, there were no cases of recurrent PE. Caval partition is an appealing mode of prophylaxis in high‐risk patients because of its safety, efficacy, and permanence.

 

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