Key result
Postoperative VTE occurs in ~7% of high-risk gynecologic surgery patients despite enoxaparin prophylaxis.
Why the study?
The study aimed to assess venous thromboembolic risk factors and the management of prophylaxis in patients undergoing elective gynecologic surgery.
Observational (n=84)
No
This prospective cohort demonstrates a high burden of VTE risk factors (80.9% high or very high risk) among elective gynecologic surgery patients in Cameroon, with a 7.1% postoperative VTE incidence driven by non-adherence to stockings and financial barriers to anticoagulant access.
Answers are grounded in this paper and cite their sources.
Standard prophylaxis may leave residual VTE risk in high-risk patients; leaves open optimal regimens for elective gynecologic surgery.
Background: The aim of this study was to assess thromboembolic risk factors and prophylaxis in patients undergoing elective gynecologic surgery. Patients and methods: This was a descriptive longitudinal approach with prospective data collection, from January to June 2021 in the intensive care and gynecology departments of the Yaoundé Gynaeco-Obstetric and Pediatric Hospital. The studied variables were socio- demographic data, indications for surgery, risk factors related to the patient and those related to surgery (according to the modified Caprini score), and the principles of thromboprophylaxis. The collected data were entered using CS Pro 7.0 software and analyzed by Epi-info software version 3.5.4. Results: We recruited 84 patients. The mean age was 45.1±10.2 years. The risk factors found were cancer (41.5%), obesity (32.1%) and hypertension (13.2%). The high global risk was found in 40 cases (47.6%) followed by the very high global risk with 28 cases (33.3%). All patients benefited from early mobilization while 69% used compression stockings. In the overall population, enoxaparin was used alone in 84 cases (100%) and in combination with stockings in 58 cases (69.1%). In the high-risk population (n=68), enoxaparin was used in all the cases and in combination in 48 cases (70.5%). Six thromboembolic events were recorded. Conclusion: VTE prophylaxis should be administered according to recognized guidelines to avoid inadequate prophylaxis. It is well codified. It reduced VTE events.
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Bengono et al. (2024) conducted an observational in Elective gynecologic surgery (n=84). Perioperative venous thromboembolism prophylaxis (enoxaparin, early mobilization, and compression stockings) was evaluated on Postoperative venous thromboembolic events (deep vein thrombosis). Among 84 elective gynecologic surgery patients (80.9% high/very high Caprini risk) receiving enoxaparin (100%) and stockings (69.1%), postoperative VTE occurred in 6 patients (7.1%).
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