Bleeding after excision of breast lumps

被引:14
作者
Bakker, XR [1 ]
Roumen, RMH [1 ]
机构
[1] St Joseph Hosp, Dept Gen Surg, Veldhoven, Netherlands
关键词
breast surgery; complications; antithrombotic prophylaxis; deep venous thrombosis;
D O I
10.1080/110241502320789087
中图分类号
R61 [外科手术学];
学科分类号
摘要
Bleeding complications after excision of lumps in the breast are common and may be related to the prescription of heparin for prophylaxis of thrombo-embolism. Between 1 June 1997 and 1 January 2000, 206 lumps of the breast were removed in 186 patients. All patients received a low molecular weight heparin as a prophylaxis for deep venous thrombosis. The number of bleeding complication,, was 23 (11 Patients operated oil the day of admission had more bleeding complications than those who were operated oil the day after admission (19/145 (13%) compared with 4/61 (7%)). The difference was not significant (p=0.26). Smoking and us of antihypertensive medication were registered more often in patients without bleeding complications. Lumpectomy of the breast is an operation with a lot of bleeding complications. This might be related to the timing of deep venous thrombosis prophylaxis.
引用
收藏
页码:401 / 403
页数:3
相关论文
共 11 条
[1]  
*COLL HLTH CAR INS, 2000, FARM COMP, P234
[2]   Incidence of venographically proved deep vein thrombosis after knee arthroscopy [J].
Demers, C ;
Marcoux, S ;
Ginsberg, JS ;
Laroche, F ;
Cloutier, R ;
Poulin, J .
ARCHIVES OF INTERNAL MEDICINE, 1998, 158 (01) :47-50
[3]   8-YEAR RESULTS OF A RANDOMIZED CLINICAL-TRIAL COMPARING TOTAL MASTECTOMY AND LUMPECTOMY WITH OR WITHOUT IRRADIATION IN THE TREATMENT OF BREAST-CANCER [J].
FISHER, B ;
REDMOND, C ;
POISSON, R ;
MARGOLESE, R ;
WOLMARK, N ;
WICKERHAM, L ;
FISHER, E ;
DEUTSCH, M ;
CAPLAN, R ;
PILCH, Y ;
GLASS, A ;
SHIBATA, H ;
LERNER, H ;
TERZ, J ;
SIDOROVICH, L .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (13) :822-828
[4]  
JEFFREY SS, 1995, ARCH SURG-CHICAGO, V130, P909
[5]  
LAW NW, 1990, ANN ROY COLL SURG, V72, P11
[6]   LOW-MOLECULAR-WEIGHT HEPARIN VERSUS STANDARD HEPARIN IN GENERAL AND ORTHOPEDIC-SURGERY - A METAANALYSIS [J].
NURMOHAMED, MT ;
ROSENDAAL, FR ;
BULLER, HR ;
DEKKER, E ;
HOMMES, DW ;
VANDENBROUCKE, JP ;
BRIET, E .
LANCET, 1992, 340 (8812) :152-156
[7]   LOW-DOSE HEPARIN - BLEEDING AND WOUND COMPLICATIONS IN SURGICAL PATIENT - PROSPECTIVE RANDOMIZED STUDY [J].
PACHTER, HL ;
RILES, TS .
ANNALS OF SURGERY, 1977, 186 (06) :669-674
[8]   Postoperative thromboembolism after day-case herniorrhaphy [J].
Riber, C ;
Alstrup, N ;
Nymann, T ;
Bogstad, JW ;
WilleJorgensen, P ;
Tonnesen, H .
BRITISH JOURNAL OF SURGERY, 1996, 83 (03) :420-421
[9]   Thromboembolic complications after arthroscopic knee surgery - Incidence and risk factors in 101 patients [J].
Schippinger, G ;
Wirnsberger, GH ;
Obernosterer, A ;
Babinski, K .
ACTA ORTHOPAEDICA SCANDINAVICA, 1998, 69 (02) :144-146
[10]  
WARREN HW, 1994, ANN ROY COLL SURG, V76, P39