ANALYSIS OF CHARACTER OF PERIOPERATIVE HEMORRHAGE IN EXTENDED RADICAL RECONSTRUCTIVE-PLASTIC UROLOGICAL SURGERIES IN CONDITIONS OF PREVENTION OF THROMBOEMBOLIC COMPLICATIONS WITH FRACTIONATED AND UNFRACTIONATED HEPARINS

Aim. To carry out comparative analysis of the parameters of blood coagulation system and perioperative hemorrhage for prevention of thromboembolic complications with sodium heparin or enoxaparin in 48 patients who had undergone radical cystectomy with simultaneous ileocystoplasty. Materials and methods. Prevention of thromboembolic complications was performed according to the order of MH RF №233 (09.06.2003) on confirmation of industry standard “The Protocol of Patients’ Management. Prevention of Pulmonary Artery Thromboembolia in Surgical and Other Invasive Interventions”. Results. Reliable differences in the volume of intraoperative hemorrhage in the compared groups of patients in case of comparable hemorrhage during the first two days after the operation were revealed. The total hemorrhage was: group I - 1115+84 ml, group II - 796+62ml). Conclusions. In case of comparable balance in hemostasis system, the volume of perioperative hemorrhage is less when preventing thromboembolic complications with enoxiparin.

Radical cystectomy, prevention of thromboembolia, hemorrhage, coagulometry