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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/12809
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dc.contributor.authorCazacov, Vladimir
dc.contributor.authorDarii, Eugeniu
dc.contributor.authorNacu, Natalia
dc.contributor.authorVangheli, Ludmila
dc.contributor.authorNegarî, Nadejda
dc.date.accessioned2020-11-10T10:53:16Z
dc.date.available2020-11-10T10:53:16Z
dc.date.issued2020-10
dc.identifier.urihttps://stiinta.usmf.md/ro/manifestari-stiintifice/zilele-universitatii
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/12809
dc.descriptionDepartment 2 of Surgery, State University of Medicine and Pharmacy "Nicolae Testemiteanu" Chișinău, Republic of Moldova, Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltareen_US
dc.description.abstractIntroduction. Surgical management of patients with portal hypertension (PHT) should take into account the associated thromboembolic risk. Purpose. Analysis of the incidence and management of thromboembolic complications. Material and methods. The retrospectively analyzed case study refers to 336 cirrhotic patients (Child A/B/C = 21/298/47) operated for PHT, severe hypersplenism: azygo-portal devascularization (340 cases), selective shunt operations (9 cases) and splenectomy with gastric disconnection (17 cases). Results In this group of patients we registered 22 patients with portal vein thrombosis (PVT): 14 cases located in the trunk, 5 extended in the oval and 3 upstream. The clinical presentation had 3 types: asymptomatic, slow onset, insidious and active onset associated with ascites (8), gastrointestinal bleeding (3) and pulmonary thromboembolism (1 case). We identified a significant positive correlation of PVT with the Child C score, splenomegaly > 20cm and portal flow < 15cm / s. Patients adhered to anticoagulant / antiplatelet therapy, with individual regimen and duration of administration. We recorded: PVT recanalization (19), portal cavernoma (4); retrombosis (5 cases). Conclusions. Our observations note a different clinical, evolutionary, and prognostic diversity of PVT that argues for the treatment and monitoring of operated patients.en_US
dc.language.isoenen_US
dc.publisherUniversitatea de Stat de Medicină şi Farmacie "Nicolae Testemiţanu"en_US
dc.subjectportal hypertensionen_US
dc.subjectthromboembolic complicationsen_US
dc.titleThromboembolic complications after portal hypertension surgeryen_US
dc.typeOtheren_US
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