Hemostasiological aspects after the planned and urgent laparoscopic operations on the appendages of uterus
Keywords:laparoscopic operations, state of hemostasis, complications
Postoperative period was complicated in three supervisions (6,0%) by development of thrombophlebitis of muscular veins of right shin, in one (2,0%) – thromboembolism of pulmonary artery, unconnected with development of sharp thrombophlebitis.
In all supervisions after the leadthrough of conservative treatment postoperative complications were with sleeping compartments. Before an operation the indexes of coagulative hemostasis of women, gettings traditional treatment, for certain did not differ from the indexes of healthy women of genital age. At the analysis of platelet link of hemostasis it is set by us, that in preoperative period an amount of thrombocytes was on 47,8% higher as compared to healthy women. In addition, for certain the indexes of number of small aggregation appeared more high – in 2,2 time, number of large aggregation – in 2,9 time, number of aggregation – in 2,3 time higher. Other indexes of platelet hemostasis for certain did not differ from a control group.
The results of the conducted researches testify to the high risk of thromohemorrhagic complications for patients after laparoscopic operations on the appendages of uterus. It dictates the necessity of improvement of algorithm of diagnostic and treatment-and-prophylactic measures.
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