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Original Article

Med Arch. 2019; 73(6): 404-407


The Effect of Prophylactic Doses of Reviparin on the Postoperative Value of Platelets

Ismet Suljevic, Suad Basic, Ismana Surkovic, Maida Turan, Ehlimana Musija.

Abstract
Introduction: Low molecular weight heparin (LMWH) is used as anticoagulant in diseases characterized by possible thrombosis, as well as for thromboprophylaxis in surgery. The administration of LMWH preoperatively and postoperatively allows satisfactory thromboprophylaxis of patients undergoing surgery. Their application can reduce the number of platelets. Aim: To determine what effect Reviparin has on platelet values ‚Äč‚Äčpostoperatively in patients undergoing open cholecystectomy. Methods: The study was conducted at the Clinic for Anesthesia and Resuscitation of the Clinical Center of the University of Sarajevo. A retrospective study was performed that included data analysis for 33 patients undergoing open cholecystectomy over a two-year period. There were 22 male and 11 female patients out of a total of 33 patients. Platelet values ‚Äč‚Äčfrom laboratory findings of patientís medical history were monitored for 5 days. The values ‚Äč‚Äčfound were recorded in a table containing the patientís first and last name, gender, age and platelet value. All patients had the same endotracheal anesthesia with Propofol, Fentanyl, and Atracurium supplemented with oxygen and nitric oxide at the appropriate dose. All of the patients received same dose of 0.25ml (1432 IU) Reviparin (Clivarin) from Abbott GmbH & Co.KG, preoperatively and postoperatively. Patients undergoing laparoscopic surgery as well as patients receiving other low-molecular-weight heparin or receiving higher doses of Reviparin were excluded from the study. Statistical analysis was performed using the MedCalc v12.7 statistical package for biomedical research. Results: An analysis of gender representation in the total sample shows that there was 22 or 66.7% of males while there was 11 or 33.3% of female patients. Analysis of platelet values ‚Äč‚Äčindicates that there is no statistically significant correlation with gender, but that there is a statistically significant correlation between platelet values ‚Äč‚Äčbetween samples, ie. that patients who had higher preoperative values ‚Äč‚Äčretained more platelet values ‚Äč‚Äčeven during postoperative measurements. Conclusion: Platelet values ‚Äč‚Äčdo not change significantly postoperatively with the use of prophylactic doses of Reviparin, after an open cholecystectomy.

Key words: Reviparin, low molecular weight heparin, open cholecystectomy, platelets.



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