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DVT PROPHYLAXIS

Keywords: Deep Vein thrombosis , Prophylaxis , Enoxaprin (Low Molecular Weight Heparin).

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Abstract:

Evaluate the effectiveness of LMWH prophylaxis for DVT in high risk patients after general surgery. Studydesign: Randomized controlled study. Setting: Surgical Unit-IV, District Head Quarters Hospital, Faisalabad. Period: From March 2009 toAugust 2009. Patients and Methods: Sixty patients in the LMWH group were given perioperative enoxaparin (Clexane) as prophylaxis whilecompression stockings were used in another control group comprised of 60 patients. At 5th postoperative day, Doppler study was performed todetect DVT in both groups. Categorical data were analyzed for significance using Chi square test through SPSS. Results: There weresignificant difference in age factor, history of DVT, Medical factor, surgical trauma factor and interpretation on the basis of points. However, thereis non significant difference between LMWH group and control group for chemoprophylasis. Conclusions: LMWH administration is effective forthe prevention of venous thromboembolism in high risk patients and its practice should be the standard of care in the practice of surgery.

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