Postoperative management
cardio pulmonary complications, palpitation, anemia, dizziness, DVT, palor, VTE, venous thromboembolism
DEEP-VEIN THROMBOSIS, ANEMIA, DVT
Range of motion training by continuous passive motion machine was conducted immediately after operation. The vacuum bag of hemovac drain was not compressed postoperatively for 12 h, then followed by full compression was routinely conducted in all patients. The drain tubes were routinely removed on the second postoperative day (POD). Intravenous prophylactic antibiotic therapy consisting 1 g Cefazolin preoperatively followed by 1 g every 8 h for 3 doses postoperatively was given. Allogenic red blood cell transfusion for 1 unit was given if Hb value was < 8.0 g/dl with clinical manifestation of anemia (dizziness, palpitation, palor, etc.) or Hb value was < 9.0 g/dl in elderly patients with risk of cardio pulmonary complications. Standard venous thromboembolism (VTE) prophylaxis was prescribed in all patients by oral intake of rivaroxaban (Xarelto, Bayer Shering Pharma AG, Wuppertal, Germany) 10 mg-once daily starting on POD 1 for 14 doses. All patients were combined to undergo duplex ultrasound study of both lower limbs to detect the presence of deep-vein thrombosis (DVT) before discharge.