The effect of lumbar epidural analgesia on the development of deep vein thrombosis of the legs after open prostatectomy

Acta Chir Scand. 1981;147(6):425-9.

Abstract

The occurrence of deep vein thrombosis (DVT) was studied by the 125-I-fibrinogen uptake test in 38 patients subjected to retropubic prostatectomy. The patients were randomly allocated to two groups: continuous lumbar epidural analgesia for up to 24 hours and general anaesthesia with intermittent positive pressure ventilation. Two of the 17 patients in the epidural group (12%) developed DVT in contrast 11 of the 21 patients in the general anaesthetic group (51%). The difference between the groups was significant. It is concluded that epidural analgesia offers a protection against postoperative DVT and is worth further investigation.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Anesthesia, Epidural / adverse effects*
  • Anesthesia, General / adverse effects*
  • Fibrinogen
  • Humans
  • Iodine Radioisotopes
  • Leg / blood supply
  • Male
  • Prostatectomy
  • Prostatic Hyperplasia / surgery*
  • Thrombosis / diagnosis
  • Thrombosis / etiology*
  • Transfusion Reaction

Substances

  • Iodine Radioisotopes
  • Fibrinogen