Prevention of thromboembolism with heparin in gynecological and obstetric surgery
Wagner, K.L.; Kaiser, M.; Korte, W.; Etzel, F.
Fortschritte der Medizin 95(39): 2403-2406
1977
ISSN/ISBN: 0015-8178 PMID: 914200 Document Number: 112252
During a period of 28 months 983 gynaecological patients had major abdominal or vaginal operations under Heparin prophylaxis. In no case thrombosis or pulmonary embolism occurred. 5 hemorrhages required surgical revision and temporary reduction of Heparin dose. Global tests for preoperative diagnosis of hemostasis and for postoperative control of Heparin effect are discussed. Possible reactive fibrinolysis under Heparin administration, its complications and control are mentioned. Peri- and postoperative prophylaxis of thrombo-embolism with Heparin in daily dosages up to 20,00 I.U. seems well suitable.