Anticoagulants as a Risk Factor in Patients Operated on for Abdominal Hernia

• Authors: Barbara Piątek , Marcin Piwnik , Michał Podgórski , Janusz Strzelczyk
• Languages of publication: EN

Abstracts

EN

The aim of the study was to determine whether patients treated with anticoagulants in the perioperative period are at higher risk of developing bleeding complications. Material and methods. Medical records of patients operated for abdominal hernia were analysed. Data concerning demographic characteristic of a group, type of hernia, comorbidities, preoperative anticoagulation therapy and complications were collected. Association of applied anticoagulation therapy with the time of drainage, the amount of drained discharge and the length of hospitalisation was evaluated. Results. Analysed group consisted of 186 patients. Thirty seven patients were treated with different schemes of anticoagulant therapy before the the surgery. Patients treated with triple anticoagulation therapy (acetylsalicylic acid, low-molecular weight heparin, vitamin K antagonists) had significantly longer time of drainage in comparison to patients treated according to other schemes (p<0.05). The amount of drained discharge and time of hospitalisation did not differ significantly. Neither comorbidities nor the administration of low-molecular weight heparin did not affect the analysed parameters. Conclusions. Patients operated on abdominal hernia, who were treated with triple anticoagulation therapy in peri-operative period, require significantly longer drainage of the wound what can result in prolonged hospitalisation

Keywords

EN

abdominal hernia; anticoagulants; acetylsalicylic acid; low-molecular-weight heparin; vitamin K antagonists; haemorrhagic complications

• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 6
• Pages: 263-267

Dates

published

1 - 6 - 2014

online

2 - 9 - 2014

received

5 - 5 - 2014

Contributors

author

Barbara Piątek

• Department of General and Transplantological Surgery, Norbert Barlicki University Hospital No 1 in Łódź,

author

Marcin Piwnik

• Student Science Club at the Department of General and Transplantological Surgery, Norbert Barlicki University Hospital No 1 in Łódź

author

Michał Podgórski

• Department of Radiology and Diagnostic Imaging, Norbert Barlicki University Hospital No 1 in Łódź

author

Janusz Strzelczyk

• Department of General and Transplantological Surgery, Norbert Barlicki University Hospital No 1 in Łódź

References

• 1. S kalski M, Wróblewski T, Nyckowski P i wsp.: Laparoskopowe leczenie przepuklin brzusznych sposobem IPOM- doniesienie wstępne. Wideochirurgia i inne techniki małoinwazyjne 2006; 3: 47-53.
• 2. Janczak D, Sitarski A, Merenda M i wsp.: Zastosowanie siatek syntetycznych w leczeniu przepuklin brzusznych. Polimery w Medycynie 2011; 41: 13-18.
• 3. C assar K, Munro A: Surgical treatment of incisional hernia. Br J Surg 2002; 89: 534-45.
• 4. S zczęsny W, Dąbrowiecki S: Współczesne poglądy na etiopatogenezę przepuklin ściany brzucha. Chirurgia Pol 2005; 7: 280-86.
• 5. Strzelczyk J, Czupryniak L, Loba J et al.: The use of polypropylene mesh in midline incision closure following gastric by-pass surgery reduces the risk of postoperative hernia. Langenbecks Arch Surg 2002; 387: 294-97.
• 6. Murawa D, Połom K, Spychała A i wsp.: Zaopatrzenie przepuklin brzusznych pooperacyjnych u pacjentów onkologicznych techniką laparoskopową z użyciem dootrzewnowej siatki Parietex composite - doniesienie wstępne. Współczesna onkologia 2009; 13: 134-38.
• 7. Geerts W, Bergqvist D, Pineo G et al.: Prevention of Venous Tromboembolism. American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest Journal 2008; 133: 381-453.
• 8. Moreno-Egea A, Liron R, Girela E et al.: Laparoscopic repair of ventral and incisional hernias using a new composite mesh (Parietex): initial experience. Surg Laparosc Endosc Percutan Tech 2001; 11: 103-06.[Crossref]
• 9. Anthony T, Bergen P, Kim L et al.: Factors affecting recurrence following incisional herniorrhaphy. World J Surg 2000; 24: 95-100.[Crossref][PubMed]
• 10. H o CH Tsai YC : Old age is a risk factor for recurrence after laparoscopic inguinal hernia repair with porcine small intestine submucosa mesh. Am Surg 2012; 78: 497.
• 11. Lioupis C: Effects of diabetes mellitus on wound healing: an update. J Wound Care 2005; 14: 84-86.[PubMed]
• 12. D evereaux PJ, Mrkobrada M, Sessler D et al.: Aspirin in patients undergoing noncardiac surgery. N Engl J Med 2014; 370: 1494-1503.
• 13. D unn AS, Spyropoulos AC, Turpie AG: Bridging therapy in patients on long-term oral anticoagulants who require surgery: the Prospective Peri-operative Enoxaparin Cohort Trial (PROSPECT). J Thrombosis Haemostasis 2007; 5: 2211-18.[WoS]

Identifiers

DOI

10.2478/pjs-2014-0047