Meryem YAVUZ, Erkan KISMALI, Elif DERİMEŞE, Burak TURNA

The effect of knee length and thigh length antiembolism stockings on deep vein thrombosis prophylaxis

Amaç: Bu çalışmada antiemboli çorap uzunluğunun ameliyat sonrası derin ven trombozunu önlemeye etkisi değerlendirildi. Çalışma planı: Radikal prostatektomi ve üriner diversiyon yapılan 44 erkek hasta örneklemi oluşturdu. Randomize edilen hastalar diz altı çorap grubu (n=22; ort. yaş 61.7±9.1), uyluk boyu çorap grubu (n=22; ort. yaş 62.1±7.0 yıl) olmak üzere iki gruba ayrıldı. Verilerin toplanmasında Hasta Tanılama Formu, Derin Ven Trombozu Semptom Formu ve Alt Ekstremite Derin Venöz Sistemin Renkli Doppler Ultrasonografi Sonuçları kullanıldı. İstatistiksel analizler ki-kare testi, Student t-test ve Mann-Whitney U analizi kullanılarak gerçekleştirildi.Bulgular: Diz altı çorap grubunda ameliyat süresi 174.3±68.6 dk., antiemboli çorap kullanım süresi 6.1±1.3 gün iken, uyluk boyu çorap grubunda ameliyat süresi 177.4±72.9 dk., antiemboli çorap kullanım süresi 6.2±1.4 gün idi. Taburcu olmadan önce yapılan alt ekstremite renkli Doppler ultrasonografi sonucunda her iki grupta yer alan hastaların hiçbirinde derin ven trombozu saptanmadı. Derin ven trombozu ile ilişkili olabilen semptomlar ameliyat öncesi ve ameliyat sonrası değerlendirildiğinde, çok az sayıda hastada yaşandığı, ancak hiçbirinde derin ven trombozu tanısının doğrulanmadığı görüldü.Sonuç: Çalışma bulgularımız ameliyat sonrası derin ven trombozunu önlemede diz altı ve uyluk boyu antiemboli çorapları arasında bir fark olmadığını göstermektedir. Ancak kullanım kolaylığı ve hasta konforu nedeniyle, olası komplikasyonların önüne geçmek için diz altı elastik basınçlı çorabın ameliyat sonrası kullanımı önerilmektedir.

Derin ven trombozu profilaksisinde diz altı ve uyluk boyu antiemboli çorapların etkisi

Background: This study aims to evaluate the effect of the length of anti-embolism stockings on the prevention of postoperative deep vein thrombosis. Methods: The sample consisted of 44 male patients who underwent radical prostatectomy and urinary diversion. The patients were randomly divided into two groups, including knee length stockings group (n=22; mean age 61.7±9.1 years) and thigh length stockings group (n=22; mean age 62.1±7.0 years). For data collection, the Patient Assessment Form, Deep Vein Thrombosis Symptom Form and Color Doppler Ultrasonography Results of Lower Extremity Deep Venous System were used. Statistical analysis was performed using, the chi-square test, Student t-test and Mann-Whitney U analysis.Results: In the knee length stockings group, the operation time was 174.3±68.6 min and the duration of using antiembolism stockings was 6.1±1.3 days, while the operation time was 177.4±72.9 min in the thigh length stockings group and the duration of using antiembolism stockings was 6.2±1.4 days. According to the results of the lower extremity color Doppler ultrasonography performed before discharge, deep vein thrombosis was not detected in the patients of any group. When the symptoms associated with deep vein thrombosis were evaluated preoperatively and postoperatively, it was observed that a very small number of patients experienced it, however, the diagnosis of deep vein thrombosis was not verified in any of them.Conclusion: Our study results suggest that there is no difference between knee length and thigh length antiembolism stockings in the prevention of deep vein thrombosis. However, knee length antiembolism stockings are recommended postoperatively to avoid possible complications, due to its ease of use and patient comfort.

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