Effects of physiotherapy with and without elastic bonding on prevention of deep vein thrombosis in women undergoing total abdominal hysterectomy: a randomized clinical trial

Abstract

ntroduction: Since total abdominal hysterectomy is associated with heavy bleeding and increases the incidence of thrombosis, this study was performed with aim to evaluate the effect of physiotherapy with and without bandage on prevention of deep vein thrombosis in women candidate for total hysterectomy. Methods: This single-blind randomized clinical trial study was conducted on 32 candidates of total abdominal hysterectomy patients in the hospitals of Tabriz Medical Sciences in September 2019. The physiotherapy group received lower limb physiotherapy every 8 hours 2 days before surgery, and the other group received bandages on feet after physiotherapy. Thrombosis diagnostic tests were recorded for each individual in the relevant checklist. Data were analyzed by SPSS software (version 21) and Kolmogorov-Smirnov and independent t tests. PResults: Intergroup results of blood tests and thrombosis detectors before and after the intervention based on paired t-test indicated a statistically significant difference in all variables of RBC, Hgb, Hct, PCR, PT, PTT, INR, D-Dimer, Pr C, Pr S in the two groups (p<0.05), whereas intragroup comparison of the results based on Independent t indicated no significant difference in the mentioned variables (p<0.05). Conclusion: Physiotherapy with and without bandage has similar efficacy in preventing deep vein thrombosis in patients candidate for total abdominal hysterectomy.

Keywords

• total abdominal hysterectomy
• physiotherapy
• elastic bandage
• deep vein thrombosis