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Pulmonary thromboembolism following gynecologic surgery and cesarean section
Author(s) -
Chisaka H.,
Utsunomiya H.,
Okamura K.,
Yaegashi N.
Publication year - 2004
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(03)00339-4
Subject(s) - medicine , incidence (geometry) , gynecologic cancer , endometrial cancer , obesity , surgery , obstetrics , gynecology , cancer , ovarian cancer , physics , optics
Abstract Objective: To investigate the incidence and risk factors of symptomatic pulmonary thromboembolism (PTE) in patients following gynecologic surgery or cesarean section in Japan. Method: We examined the clinical records of all patients who have undergone gynecologic surgery or cesarean section at 32 hospitals affiliated with the Tohoku University Hospital between 1990 and 1999. Result: The total number of gynecologic surgical procedures and cesarean sections were 61 648 and 26 502, respectively. Twenty‐five of the 88 150 (0.028%) patients developed clinical PTE. Among the PTE patients who underwent gynecologic surgery, 86% were more than 40 years of age, 36% were obese (BMI>25 kg/m 2 ) and 43% had uterine body cancer. Among the PTE patients who underwent cesarean section, 36% were more than 35 years of age and 55% were obese (BMI>29 kg/m 2 ). Conclusion: Risk factors in Japanese patients undergoing gynecologic surgery may include age and cancer of the uterine body; risk factors for the development of PTE following cesarean section may include age and obesity.