PRINCIPLES AND CRITERIA FOR DIFFERENTIATED PREVENTION OF VENOUS THROMBOEMBOLIC COMPLICATIONS IN ONCOSURGERY

Karsanov Alan Mukharbekovich, Maskin Sergey Sergeevich, Vakhotsky Vladimir Vasilyevich

The article presents the experience of using markers of the effectiveness of thromboprophylaxis in oncosurgical patients of moderate and high risk. At three stages of a long-term study, thrombinemia indicators were assessed in the development of distal and embolic deep vein thrombosis in the perioperative period. The data were confirmed that the incidence of proximal venous thrombosis was statistically significantly correlated with the development of fatal pulmonary embolism, which is reflected in the “embologenicity risk index”. The experience gained was the basis for differentiated thromboprophylaxis in the third period of the study, which made it possible to increase the safety of the most high-risk category of oncosurgical patients.

Keywords:surgery, venous thromboembolic complications, pulmonary embolism, deep vein thrombosis, prevention of complications