Does anticoagulation increase the risk of wound hematoma in inguinal hernia surgery?

Autor:	T. Mumme, N. Lorenz, Ch. Peiper, Karsten Junge, Volker Schumpelick
Rok vydání:	2000
Předmět:	medicine.medical_specialty Vascular disease business.industry Perioperative Inguinal hernia surgery medicine.disease Surgery Inguinal hernia Hematoma Anesthesia medicine Hernia Local anesthesia business Abdominal surgery
Zdroj:	Hernia. 4:275-281
ISSN:	1248-9204 1265-4906
DOI:	10.1007/bf01201083
Popis:	Repair of a primary inguinal hernia under local anesthesia has alow perioperative risk. Concomitant diseases mainly determine the postoperative result. When patients receive preoperative therapeutic anticoagulation (INR 2.0) because of prothrombogenic disease we have to consider the perioperative management. On the one hand this therapeutic anticoagulation reduces the risk of thromboembolism, but on the other it increases the risk of intra- and post-operative bleeding. For fear of thromboembolism the prestationary anticoagulation will be continued accepting an increased bleeding risk. Therefore we examined retrospectively the postoperative outcome with regard to wound hematomas in 465 patients. Some less aggressive anticoagulation-alternatives affecting the perioperative risk of thromboembolism and bleeding are also discussed.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2c3464fc4ca1d71eefb432cd65506b62 https://doi.org/10.1007/bf01201083 Zobrazit plný text záznamu Full text from SpringerLink