The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

The incidence of the symptoms of deep vein thrombosis in general anesthesia and spinal anesthesia after abdominal hysterectomy

Document Type : Original Article

Authors
Mansour Rezaee 1
Nafiseh Sheghaghi Ilkhchi 2
Mina Zeinalzadeh 2
Dara Alvandfar 3
1 Anesthesiologist, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
2 B.Sc. Student of Anesthesia, School of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran.
3 Assistant Professor, Department of General and Vascular Surgery, Comfortable Breathing and Sleep Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
10.22038/ijogi.2021.19538
Abstract
Introduction: Considering that anesthesia method is involved in the incidence of the symptoms of deep vein thrombosis (DVT) after abdominal hysterectomy, and this can be effective on the development of DVT, and lack of accurate information about the occurrence or non-occurrence of it leads to the start of treatment; this study was performed with aim to compare the incidence of the symptoms of DVT in general anesthesia and spinal anesthesia after abdominal hysterectomy.
Methods: This descriptive-analytical study was performed in 2019-2020 with participation of 70 women after abdominal hysterectomy that underwent the surgery under one of the two methods of general anesthesia and spinal anesthesia in Al-Zahra Hospital, Tabriz. DVT was diagnosed by the checklist of clinical symptoms and Doppler ultrasound. Data were analyzed by SPSS statistical software (version 22) and t-test and Chi-square test. P<0.05 was considered statistically significant.
Results: The incidence of DVT symptoms in patients receiving general anesthesia was 17.14% and in those receiving spinal anesthesia was 22.85%; the incidence of these symptoms in the group receiving spinal anesthesia was non-significantly higher than the group receiving general anesthesia (P = 0.103). However, the incidence of this complication after Doppler ultrasound was zero in both groups.
Conclusion: The incidence of DVT was not significantly different in women candidates for abdominal hysterectomy that underwent surgery under one of the two methods of general anesthesia and spinal anesthesia; however, the method of anesthesia has no role in the incidence of DVT.
Keywords
Abdominal hysterectomy
Deep vein thrombosis
General anesthesia
Spinal anesthesia
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 24, Issue 11
December 2021
Pages 45-51