Intermittent pneumatic compression in laparoscopic surgery for prevention of deep vein thrombosis and cellular damage from iatrogenic compartment syndrome


COD: 02_2016_01_2487 Categorie: ,

Maria Grazia Sederino, Giulia Casamassima, Rita Laforgia, Giovanni Balducci,
Giuseppe Carbotta, Antonella Tromba

Ann. Ital. Chir., 2016 87: 281-286

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AIM: This study is aimed to evaluate the incidence of the postoperative deep vein thrombosis (DVT) and the cell damage
from compartment iatrogenic syndrome, analyzing two groups of patients operated laparoscopically, one of which assisted
with a Sequential Compression Device (SCD).
MATERIAL OF STUDY: A patients’ series submitted to laparoscopic surgery over a period at least 90 minutes. The venous
flow in the lower limbs was detected with the Echo Colour Doppler method, and only one of the two groups was assisted
with the SCD.
RESULTS: Between November 2006 and October 2007, 35 patients were evaluated, 21 of them wew assisted with SDC
and the remaining 14 patients were the control group. All patients had a follow-up was extended for 5 years at the
interval of 7 days, 14 days, 30 days, 3 and 5 years.
DISCUSSION: The results were confirmed that the application of SCD is able to neutralize the negative effect of the PNP
reducing the possible risk of thromboembolic venous stasis and the improvement of lactic acid and of myoglobinemia are
attributable to a reduction of preload. With the use of IPC, it decreases venous stasis, improves venous return and cardiac
output increases, preventing cell damage by hypoperfusion.
CONCLUSIONS: The use of a SCD applied to the lower limbs allows an increase in venous return from the lower limbs
so reducing the risk of DVT.