Effects of physiotherapy with and without elastic bonding on prevention of deep vein thrombosis in women undergoing total abdominal hysterectomy: a randomized clinical trial

Document Type : Original Article

Authors

1 Assistant Professor, Department of General Surgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

2 M.Sc. of Midwifery, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran

3 Assistant Professor, Department of Vascular Surgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Abstract

ntroduction: Since total abdominal hysterectomy is associated with heavy bleeding and increases the incidence of thrombosis, this study was performed with aim to evaluate the effect of physiotherapy with and without bandage on prevention of deep vein thrombosis in women candidate for total hysterectomy.
Methods: This single-blind randomized clinical trial study was conducted on 32 candidates of total abdominal hysterectomy patients in the hospitals of Tabriz Medical Sciences in September 2019. The physiotherapy group received lower limb physiotherapy every 8 hours 2 days before surgery, and the other group received bandages on feet after physiotherapy. Thrombosis diagnostic tests were recorded for each individual in the relevant checklist. Data were analyzed by SPSS software (version 21) and Kolmogorov-Smirnov and independent t tests. PResults: Intergroup results of blood tests and thrombosis detectors before and after the intervention based on paired t-test indicated a statistically significant difference in all variables of RBC, Hgb, Hct, PCR, PT, PTT, INR, D-Dimer, Pr C, Pr S in the two groups (p<0.05), whereas intragroup comparison of the results based on Independent t indicated no significant difference in the mentioned variables (p<0.05).
Conclusion: Physiotherapy with and without bandage has similar efficacy in preventing deep vein thrombosis in patients candidate for total abdominal hysterectomy.

Keywords

References

  1. Khanbabaei Gol M, Aghamohammadi D. Effect of intravenous infusion of magnesium sulfate on opioid use and hemodynamic status after hysterectomy: double-blind clinical trial. Iran J Obstet Gynecol Infertil 2019; 22(7):32-38.
  2. Fakhari S, Bile Jani I, Atashkhouei S, Khanbabayi Gol M, Soliemanzadeh S. Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial. Iran J Obstet Gynecol Infertil 2019; 22(10):12-20.
  3. Aghamohamadi D, Gol MK. An Investigation Into the Effects of Magnesium Sulfate on the Complications of Succinylcholine Administration in Nulliparous Women Undergoing Elective Cesarean Section: A Double-Blind Clinical Trial. International Journal of Women's Health and Reproduction Sciences 2019; 7(4):520-525.
  4. Shazly SA, Murad MH, Dowdy SC, Gostout BS, Famuyide AO. Robotic radical hysterectomy in early stage cervical cancer: a systematic review and meta-analysis. Gynecol Oncol 2015; 138(2):457-71.
  5. Sandberg EM, Twijnstra ARH, Driessen SRC, Jansen FW. Total laparoscopic hysterectomy versus vaginal hysterectomy: a systematic review and meta-analysis. J Minim Invasive Gynecol 2017; 24(2):206-17.e22.
  6. Albright BB, Witte T, Tofte AN, Chou J, Black JD, Desai VB, et al. Robotic versus laparoscopic hysterectomy for benign disease: a systematic review and meta-analysis of randomized trials. J Minim Invasive Gynecol 2016; 23(1):18-27.
  7. Jeppson PC, Balgobin S, Rahn DD, Matteson KA, Dieter AA, Ellington DR, et al. Comparison of vaginal hysterectomy techniques and interventions for benign indications: a systematic review. Obstet Gynecol 2017; 129(5):877-886.
  8. Korsholm M, Mogensen O, Jeppesen MM, Lysdal VK, Traen K, Jensen PT. Systematic review of same‐day discharge after minimally invasive hysterectomy. Int J Gynecol Obstet 2017; 136(2):128-137.
  9. Meriwether KV, Antosh DD, Olivera CK, Kim-Fine S, Balk EM, Murphy M, et al. Uterine preservation vs hysterectomy in pelvic organ prolapse surgery: a systematic review with meta-analysis and clinical practice guidelines. Am J Obstet Gynecol 2018; 219(2):129-46.e2.
  10. Marra AR, Puig-Asensio M, Edmond MB, Schweizer ML, Bender D. Infectious complications of laparoscopic and robotic hysterectomy: a systematic literature review and meta-analysis. Int J Gynecol Cancer 2019; 29(3):518-530.
  11. Ramdhan RC, Loukas M, Tubbs RS. Anatomical complications of hysterectomy: A review. Clin Anat 2017; 30(7):946-952.
  12. Jorgensen EM, Hur HC. Venous thromboembolism in minimally invasive gynecologic surgery: a systematic review. J Minim Invasive Gynecol 2019; 26(2):186-196.
  13. Swenson CW, Berger MB, Kamdar NS, Campbell DA Jr, Morgan DM. Risk factors for venous thromboembolism after hysterectomy. Obstet Gynecol 2015; 125(5):1139-44.
  14. Li C, Gong Y, Dong L, Xie B, Dai Z. Is prophylactic tranexamic acid administration effective and safe for postpartum hemorrhage prevention?: A systematic review and meta-analysis. Medicine (Baltimore) 2017; 96(1):e5653.
  15. Mistry DA, Chandratreya A, Lee PYF. A systematic review on the use of aspirin in the prevention of deep vein thrombosis in major elective lower limb orthopedic surgery: an update from the past 3 years. Surg J 2017; 3(4):e191-e196.
  16. Reeve JC, Boden I. The physiotherapy management of patients undergoing abdominal surgery. New Zealand Journal of Physiotherapy 2016; 44(1):33-49.
  17. Enhesari A, Honarvar Z, Moghadam SN. Comparison of the effect of compression stockings with heparin and enoxaparin in the prevention of deep vein thrombosis in lower limbs of hysterectomy patients. Revista Latinoamericana de Hipertension 2019; 14(1):37-42.
  18. Bang SM, Jang MJ, Kim KH, Yhim HY, Kim YK, Nam SH, et al. Prevention of venous thromboembolism: korean society of thrombosis and hemostasis evidence-based clinical practice guidelines. J Korean Med Sci 2014; 29(2):164-71.
  19. Majdi-Nasab N, Shamsaei Gh, Faraji A, Haj-Manoochehri R, Abbasi V. Comparison of efficacy compressive stockings with heparin in prevention of deep vein thrombosis in stroke patients. Zahedan Journal of Research in Medical Sciences 2013; 15(4):73-75.
  20. HU GJ, JIANG NN, TAN MX, XIE XY. Application of Exercise Signboard in Health Education for Preventing Deep Venous Thrombosis of Patients Undergone Gynecologic Malignant Surgeries [J]. Journal of Nursing 2013; 7.
  21. Guo M, Lu L, Sun Y, Li L, Wu M, Lang J. Comprehensive functional exercises with patient education for the prevention of venous thrombosis after major gynecologic surgery: A randomized controlled study. Thromb Res 2019; 178:69-74.
  22. Min Z, Guoqun Z, Xiaoqing Z, Yanling G. Prevention of deep venous thrombosis in the lower extremities after gynecologic surgery by wearing homemade elastic stockings massaging the channels and collaterals system. Journal of Nursing Science 2013; (2):23.
  23. Jia-min X, Wei W, Su-mei Z, Ying Z, Zheng-mei L. Application of silence method combined with massage in co-morbid anxiety and depression for patients with acute myocardial infarction. Nursing and Rehabilitation Journal 2012; 11(7):607-609.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 23, Issue 2
April 2020
Pages 1-8

Files

Share

How to cite

Statistics