Incidence and Diagnostic modality for Deep Vein Thrombosis in Lower Limb Surgeries in Rural India

Gajanan Pisulkar; Mahendra Gudhe; Sohael Khan

Volume : V, Issue : IX, September - 2016

Incidence and Diagnostic modality for Deep Vein Thrombosis in Lower Limb Surgeries in Rural India

Gajanan Pisulkar, Mahendra Gudhe, Sohael Khan

Abstract :

The association between injury and venous thromboembolic events (VTEs) is well recognized. The reported incidence of VTE after trauma varies from 7% to 58% depending upon the demographics of the patients, the nature of the injuries, the method of detection and the type of VTE prophylaxis (if any) used in the study population. A prospective cohort study to evaluate the frequency of deep vein thrombosis in major lower limb surgeries in rural India along with it�s the risk factors and any associated contributing factors. All the patients operated in tertiary care between periods of 2 years (May 2007-Oct 2009) were included in the study. All these patients were followed up after surgery till they get discharged from the hospital. We reported an incidence of 5.94% (12 cases in 202) for deep venous thrombosis in Indian rural population after major lower limb surgery. The incidence of proximal deep vein thrombosis was higher as compared to the distal deep vein thrombosis in our study group. Clinical sign and symptoms are less helpful for diagnosis of DVT. We concluded that though the invasive contrast venography is more sensitive and specific than duplex colour doppler for diagnosis of DVT. duplex colour doppler is preferred over contrast venography as not much difference was found in sensitivity and specificity amongst both. colour Doppler being less invasive and cost effective is advised over venography.