Last Updated on Jul 06, 2018

Prevention of Deep Vein Thrombosis (DVT)

Mechanical or pharmacologic methods are available for prevention (prophylaxis) of DVT. The use of sequential compression devices (Compression stockings) is the most common method of prophylaxis.


A patient who has undergone either major abdominal surgery or major orthopaedic surgery or has sustained major trauma, or has prolonged immobility (>3 days) is at a high risk of developing DVT.

Mechanical or pharmacologic methods are available for prevention (prophylaxis). The simplest method is early ambulation after surgery. A patient who is expected to be up and walking within 24 to 48 hours of a surgery or trauma is at a low risk of DVT. Sitting in a chair with the legs in a dependent position causes venous pooling. This shouldn’t be advocated in patients after surgery.

Long flights can also lead to DVT. Hence during flights airlines encourage you to keep exercising your legs and take a small walk once in a while. If you are prone to swelling of the legs, you are likely to be more prone to DVT. In such situations you should wear stockings that would help your circulation. These stockings are called 'Compression Stockings'. The use of sequential compression devices (Compression stockings) is the most common method of prophylaxis. It should be used before the patient is shifted to the operation theatre for any major surgery.

Recent literatures support the use of fractionated low-molecular-weight heparin (LMWH) for prophylaxis and treatment of venous thrombo-embolism.

References:

  1. Sabiston Textbook of Surgery, 18th ed.
  2. Bailey & Love Short Practice of Surgery, 25th ed.

Comments

Nurgul Sunday, October 14, 2012

Does anybody know where is the best place for my mom to have a surgery of deep vein thrombosis? Doctor said she must have an operation but he said in our country is not the best place to do it... He has advised Israel, Russia... what do you think?

josgreg Saturday, March 19, 2011

The article provided a nice graphical view on the disease which was of the more specific on the topic. Diagnosis of deep vein thrombosis To diagnose this condition, you may have to undergo the following tests in an infirmary: >A blood test which is named as D-Dimer is usually done to measure a substance which is responsible for blood clots to break down. If you have negative reading in this test, it tells that you have deep vein thrombosis. http://bit.ly/hMPaJd

Most Popular on Medindia