Prevention of early postoperative thrombosis of portocaval shunts in patients with hepatic cirrhosis
https://doi.org/10.21626/vestnik/2018-1/09
Abstract
On analyzing the results of managing patients with hepatic cirrhosis, who underwent portocaval anastomoses from 2003 to 2017, a therapeutic and diagnostic algorithm for preventing early postoperative thrombosis of decompressive venous anastomoses was developed by using a combination of pharmacological and mechanical preventive methods. Improving the technique of surgeries, anticoagulant prevention, which began in the preoperative period and continued after portocaval bypass surgery, avoids thrombotic complications in patients. Dynamic control of the patency of portocaval anastomosis allows to detect early signs of the impaired shunt patency and to take measures for its recanalization. Daily monitoring and evaluation of changes in hemostasiological parameters allows you to identify the severity of thrombinemia and monitor anticoagulant therapy.
About the Authors
I. E. Onnitsev
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
I. I. Dzidzava
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
B. N. Kotiv
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
S. Ya. Ivanusa
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
P. N. Zubarev
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
S. A. Alentiev
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
A. O. Parfenov
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
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Review
For citations:
Onnitsev I.E., Dzidzava I.I., Kotiv B.N., Ivanusa S.Ya., Zubarev P.N., Alentiev S.A., Parfenov A.O. Prevention of early postoperative thrombosis of portocaval shunts in patients with hepatic cirrhosis. Kursk Scientific and Practical Bulletin "Man and His Health". 2018;(1):54-60. (In Russ.) https://doi.org/10.21626/vestnik/2018-1/09
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