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Steiner RA, Keller K, Lüscher T, et al. A prospective randomized trial of low molecular weight heparin-DHE and conventional heparin-DHE (with acenocoumarol) in patients undergoing gynaecological surgery. Arch Gynecol Obstet. 1989;244(3):141-50doi: 10.1007/BF00931291.
Steiner, R. A., Keller, K., Lüscher, T., & Schreiner, W. E. (1989). A prospective randomized trial of low molecular weight heparin-DHE and conventional heparin-DHE (with acenocoumarol) in patients undergoing gynaecological surgery. Archives of gynecology and obstetrics, 244(3), 141-50. https://doi.org/10.1007/BF00931291
Steiner, R A, et al. "A prospective randomized trial of low molecular weight heparin-DHE and conventional heparin-DHE (with acenocoumarol) in patients undergoing gynaecological surgery." Archives of gynecology and obstetrics vol. 244,3 (1989): 141-50. doi: https://doi.org/10.1007/BF00931291
Steiner RA, Keller K, Lüscher T, Schreiner WE. A prospective randomized trial of low molecular weight heparin-DHE and conventional heparin-DHE (with acenocoumarol) in patients undergoing gynaecological surgery. Arch Gynecol Obstet. 1989;244(3):141-50. doi: 10.1007/BF00931291. PMID: 2544152.
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Arch Gynecol Obstet. 1989;244(3):141-50. doi: 10.1007/BF00931291.

A prospective randomized trial of low molecular weight heparin-DHE and conventional heparin-DHE (with acenocoumarol) in patients undergoing gynaecological surgery.

Archives of gynecology and obstetrics

R A Steiner, K Keller, T Lüscher, W E Schreiner

Affiliations

  1. Department of Gynaecology, University Hospital, Zürich, Switzerland.

PMID: 2544152 DOI: 10.1007/BF00931291

Abstract

The antithromboembolic efficacy of once a day low molecular weight heparin in fixed combination with dihydroergotamine (LMWH-DHE) was compared with conventional heparin-DHE in combination with Acenocoumarol (heparin-DHE/A) in 191 patients undergoing gynaecological surgery. LMWH-DHE proved equally effective in preventing thromboembolic complications, with a similar incidence of postoperative bleeding and side effects. Deep vein thrombosis occurred once in each group and one non-fatal pulmonary embolism occurred in the LMWH-DHE group. The main advantage of LMWH-DHE was significantly better patient acceptance of the single daily subcutaneous injection as compared with the two injections of conventional heparin-DHE (P = 0.02). On the other hand, LMWH-DHE was associated with significantly increased incidence of intraoperative bleeding (P less than 0.02). The bleeding did not, however, cause any clinical problems. Discontinuation of therapy due to bleeding or pain at the site of injection occurred three times in each group. We consider the use of LMWH-DHE to be an attractive, economic and safe method of thromboembolic prophylaxis.

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