Lower extremity venous doppler evaluation in patients undergoing laparoscopic gynecological operations

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dc.contributor.authorKumbak, Banu
dc.contributor.authorPoyraz, Ahmet Kürşad
dc.contributor.authorBaşpınar, Melike
dc.contributor.authorŞahin, Levent
dc.contributor.authorÖzkan, Zehra Sema
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:29Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:29Z
dc.date.issued2013
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.descriptionWOS: 000326328700006
dc.descriptionPubMed ID: 24093935
dc.description.abstractBackground: Laparoscopy is established as a standard of care in a variety of gynecological pathologies. Pneumoperitoneum and reverse Trendelenburg positioning during laparoscopy have been claimed to increase thrombosis risk, albeit these proposals are still controversial. The aim of this study was to assess lower extremity venous blood flow by Doppler sonography in patients undergoing laparoscopic gynecological surgeries. Patients and Methods: A prospective, nonrandomized, controlled study was designed to compare lower extremity venous Doppler measurements in patients undergoing diagnostic and operative gynecological laparoscopies. In the period from May 2010 to April 2011, in total, 96 patients operated on for various gynecological complaints excluding malignancy were enrolled in the study. Thirty-two of these patients underwent diagnostic laparoscopy, 34 underwent operative laparoscopy, and 30 underwent open surgery. Lower extremity venous blood flow was investigated by Doppler sonography in patients the day before surgery and 24 hours afterward. Preoperative and postoperative Doppler measurements were obtained from bilateral common and superficial femoral, bilateral great saphenous, and bilateral popliteal veins. Results: Lower extremity venous Doppler measurements were similar in diagnostic and operative laparoscopy groups. Femoral venous blood flow measurements were observed to be similar, but great saphenous and popliteal blood flows were found to be significantly decreased in the open surgery group compared with laparoscopic operations. Conclusions: The laparoscopic approach in gynecological surgery is not associated with an adverse effect on lower extremity blood flow and seems not to bring an additional risk of thrombosis.
dc.identifier.citationKumbak, B., Poyraz, A. K., Başpınar, M., Şahin, L. ve Özkan, Z. S. (2013). Lower extremity venous doppler evaluation in patients undergoing laparoscopic gynecological operations. Journal Of Laparoendoscopic & Advanced Surgical Techniques, 21(11), 926-931. https://dx.doi.org/10.1089/lap.2012.0487
dc.identifier.doi10.1089/lap.2012.0487
dc.identifier.endpage931
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue11
dc.identifier.scopusqualityQ2
dc.identifier.startpage926
dc.identifier.urihttps://dx.doi.org/10.1089/lap.2012.0487
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3177
dc.identifier.volume23
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal Of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGynecological
dc.subjectDoppler
dc.subjectLower Extremity Venous
dc.titleLower extremity venous doppler evaluation in patients undergoing laparoscopic gynecological operations
dc.typeArticle

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