Intermittent pneumatic compression for prevention of pulmonary thromboembolism after gynecologic surgery

Nao Suzuki, Fumio Kataoka, Atsushi Higashiguchi, Takeshi Hirao, Sachiko Ezawa, Hiroyuki Nomura, Akiyo Tomita, Nobuyuki Susumu, Daisuke Aoki

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Background: To investigate the incidence of pulmonary embolism and risk factors for this condition after obstetric and gynecologic surgery, as well as the efficacy of intermittent pneumatic compression. Methods: A total of 6,218 patients operated at Keio University Hospital excluding obstetric or infertility-related surgery and uterine cervical conization were evaluated retrospectively to determine the preventive effect of intermittent pneumatic compression on postoperative pulmonary embolism. Results: Pulmonary embolism occurred in 42 patients (0.68%). Multivariate analysis showed that malignancy, blood transfusion, and a body mass index ≥25 kg/m2 or ≥28 kg/m2 were independent risk factors for postoperative pulmonary embolism. A significantly lower incidence of pulmonary embolism occurred in patients receiving pneumatic compression postoperatively versus those without it. Among gynecologic malignancies, endometrial cancer was a significant risk factor for pulmonary embolism. Conclusion: Preventive measures, including intermittent pneumatic compression, should be taken to avoid postoperative pulmonary thromboembolism in the gynecology field.

Original languageEnglish
Article number18
JournalThrombosis Journal
Publication statusPublished - 2005 Nov 19

ASJC Scopus subject areas

  • Hematology


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