Riber C, Alstrup N, Nymann T, Bogstad J W, Wille-Jørgensen P, Tønnesen H
Department of Surgical Gastroenterology, University of Copenhagen, Denmark.
Br J Surg. 1996 Mar;83(3):420-21. doi: 10.1002/bjs.1800830341.
Thromboembolism is a serious complication of surgery and prophylaxis is therefore recommended. This study examines a new aspect of the problem, the incidence of thromboembolism after day-case surgery. From 1982 to 1992, 2281 patients underwent day-case repair for inguinal hernia management. Hospital admission for thromboembolism within the first 30 days after surgery was identified by computer linkage to the National In-Patient Register, which contains details of all hospital admissions in Denmark. One patient developed non-fatal pulmonary embolism. No other patients were admitted to hospital with venous thromboembolism within 30 days of herniorrhaphy. It is concluded that there is no need for routine prophylaxis for thromboembolism in day-case hernia surgery.
血栓栓塞是手术的一种严重并发症,因此建议进行预防。本研究探讨了该问题的一个新方面,即日间手术术后血栓栓塞的发生率。1982年至1992年期间,2281例患者接受了腹股沟疝日间修补手术。通过与国家住院登记系统的计算机链接,确定了术后30天内因血栓栓塞而住院的情况,该系统包含丹麦所有住院患者的详细信息。有1例患者发生了非致命性肺栓塞。在疝修补术后30天内,没有其他患者因静脉血栓栓塞而住院。结论是,日间疝手术无需常规预防血栓栓塞。