J.Jpn. Surg. Soc.. 87(12): 1503-1510, 1986

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Original article

IS・IT NECESSARY TO ADMINISTRER HEMOSTATIC MEDICINES AFTER SURGICAL OPERATION?
THE RESULTS OF QUESTIONARIES ABOUT THE USE OF HEMOSTATIC MEDICINES IN JAPAN

In Japan, the various hemostatic medicines have been used after operation. On the contrary, in Europe and U.S.A., the anticoagulants are used both before and after operation because of the high incidence of postoperative deep vin thrombosis.
We made inquiries about how they have been used to 566 main surgical clinics in Japan.
In the half of these surgical facllities, these medicines still have been used routinely. But in 16.9% of surgery, 9.5% of obstetric＆ gynecoloical operation and 29.4% of orthopedic surgery, they have never been used at all.
In the field of surgery, in 42% of cardiovascular, 32.1% of respiratory and 10.8% of general surgery, they have not been used absolutely. For the patients with liver cirrhosis, obstructive jaundice and the patients who received the massive blood transfusion during operation, more than 80% of facilities have used the hemostatic medicines.
After operation, the blood becomes hypercoagulable and tends to form thrombosis, because of increasing coaguloabillty, decreasing AT-III and protein C, hyper-function of platelet, hypofibrinolytic state and high viscosity. Especially cancer patients have the high risk of deep vein thrombosis. Also we investigated the difference of the incidence of the hemorrhagic complications after operation between in the hemostatic drug group and no drug one. No significant difference was obserued. It is concluded that the use of hemostatic medicines after operation is not recommended.

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