Journal of Clinical PracticeJournal of Clinical Practice2220-30952618-8627Eco-Vector1068110.17816/clinpract09344-47Research ArticlePrevention of thromboembolic complications in the laparoscopic treatment of obese patientsBurikovM. A.burikovm@gmail.comSkazkinI. V.skazkini@gmail.comShulginO. V.shoolgin@gmail.comKinyakinA. I.iskander0307@gmail.comSokirenkoI. A.sokirenkoirina@ya.ruVolkovaN. V.sokirenkoirina@ya.ruFederal Medical and Biological Agency of Russia (FMBA), Southern District Center of Medicine, Rostov Clinical HospitalRostov State Medical University150920189344471012201810122018Copyright © 2018, Burikov M.A., Skazkin I.V., Shulgin O.V., Kinyakin A.I., Sokirenko I.A., Volkova N.V.2018<p>Obesity is an additional high-risk factor in the development of thromboembolic complications (TEC) in the surgical treatment. 110 cases of obese patients who underwent a treatment at the Surgical Department from January, 2015 to March, 2018. Prior to the operation, all the patients received a medication to prevent thromboembolic complications, while intermittent pneumocompression was applied during the surgery. The use of intermittent pneumocompression of the lower extremities in the laparoscopic surgical treatment of obese patients reduces the amount of venous thromboembolic complications via normalization of the intravenous haemodynamics</p>thromboembolic complications (TEC)laparoscopicоbesityвенозные тромбоэмболические осложненияожирениелапароскопия[Buchwald H. Consensus conference statement. Bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers // Surgery for Obesity and Related Diseases. 2005. No. 1. P. 371–381.][Reoch J., Mottillo S., Shimony A. Safety of laparoscopic 5. vs open bariatric surgery: A systematic review and meta-analysis // Archives of Surgery . 2011. Vol. 146. P. 1314–1322.][Rocha A., Vasconcellos A., Netro L. et al. Risk of venous thromboembolism and efficacy of thromboprophylaxis in hospitalized obese medical patients and in obese patients undergoing bariatric surgery // Obesity Surgery. 2006. Vol. 16. No. 12. P. 1645–1655.][Stein P.D., Beemath A., Olson R. Obesity as a risk factor in venous thromboembolism // American Journal of Medicine. 2005. Vol. 118. No. 9. P. 978–980.][American Society For M, Bariatric Surgery Clinical Issues C. ASMBS updated position statement on prophylactic measures to reduce the risk of venous thromboembolism in bariatric surgery patients. Surgery for obesity and related diseases // Official Journal of the American Society for Bariatric Surgery. 2013. Vol. 9. No. 4. P. 493–497.][Тимербулатов Ш.В., Сагитов Р.Б., Тимербулатов В.М. Параметры объема брюшной полости в условиях пневмоперитонеума // Эндоскопическая хирургия. 2010. № 5. С. 56–58.][Parikh M., Adelsheimer A., Somoza E. et al. Factor VIII elevation may contribute to portomesenteric vein thrombosis after laparoscopic sleeve gastrectomy: A multicenter review of 40 patients // Surgery for Obesity and Related Diseases. 2017. Vol. 13. No. 11. P. 1835–1839.][Буриков М.А., Сказкин И.В., Шульгин О.В., Кинякин А.И. Изменение венозной гемодинамики сосудов нижних конечностей при лапароскопической операции у пациентов с ГПОД // Альманах Института хирургии имени А.В. Вишневского. 2015. № 2. С. 614–615.][Буриков М.А., Кательницкий И.И., Сокиренко И.А. и др. Обоснование выбора метода профилактики тромбоэмболических осложнений при лапароскопических операциях на органах брюшной полости и малого таза // Электронный журнал «Современные проблемы науки и образования». 2016. № 6.][Вирхов Р. Развалины Трои // Исторический вестник. 1880. №2. С. 12–26.]