PREVENCE A LÉČBA TROMBOEMBOLICKÉ NEMOCI V UROLOGII // SOLEN

Urologie pro praxi 1/2003

PREVENCE A LÉČBA TROMBOEMBOLICKÉ NEMOCI V UROLOGII

PREVENTION AND TREATMENT OF THROMBOEMBOLIC DISEASE IN UROLOGY Thromboembolic disease still represents a gross threat, which can cause an adverse outcome of favorable surgical intervention. Surgical procedures in minor pelvis and abdominal cavity are associated with a high risk of thromboembolism, mainly in malignancies. Therefore, the paper gives a clear survey of knowledge concerning perioperative prevention of thromboembolism, perioperative administration of oral anticoagulant therapy in patients on longterm anticoagulation therapy from any reason and pays attention to the risk of perioperative hemorrhage under efficient anticoagulant therapy. The concrete prophylactic procedures used in the Department of Urology of Faculty Hospital in Olomouc are described. Key words: urology, surgical intervention, hypercoagulable states, thrombembolic disease, anticoagulation therapy, LMWH, perioperative hemorrhage.