PMID- 1724191 OWN - NLM STAT- MEDLINE DCOM- 19920331 LR - 20131121 IS - 0173-0541 (Print) IS - 0173-0541 (Linking) DP - 1990 TI - [Prevention of thrombosis with low molecular weight heparin and hydroxyethyl starch in general surgery]. PG - 1185-7 AB - In an open, randomized, controlled and prospective study we compared the efficacy of LMWH with unfractionated heparin (UFH) and the effects of both heparin preparations on haemostatic and fibrinolytic parameters. We also stratified subgroups which received HES intra- and postoperatively. The study groups were well matched with regard to baseline characteristics. With LMWH 4 patients (4.1%) displayed a positive fibrinogen uptake test (1 patient with HES). With UFH 5 patients (5%) demonstrated a positive uptake (3 patients with HES). Antifactor Xa levels were significant higher in the LMWH groups; all other fibrinolytic and haemostatic factors, bleeding and local wound complications did not differ. These data suggest that LMWH in equally effective and safe as UFH in general surgery. HES may have and additive effect. FAU - Limmer, J AU - Limmer J AD - Allgemeinchirurgie, Universitat Ulm. FAU - Seifried, E AU - Seifried E FAU - Ellbruck, D AU - Ellbruck D FAU - Schwarz, A AU - Schwarz A LA - ger PT - Clinical Trial PT - English Abstract PT - Journal Article PT - Randomized Controlled Trial TT - Thromboseprophylaxe mit niedermolekularem Heparin (LMWH) und Hydroxyaethylstarke (HES) in der Allgemeinchirurgie. PL - Germany TA - Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir JT - Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress JID - 9200455 RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Hydroxyethyl Starch Derivatives) SB - IM MH - Adult MH - Female MH - Heparin, Low-Molecular-Weight/*administration & dosage MH - Humans MH - Hydroxyethyl Starch Derivatives/*administration & dosage MH - Male MH - Middle Aged MH - Postoperative Complications/*prevention & control MH - Prospective Studies MH - Thromboembolism/*prevention & control EDAT- 1990/01/01 00:00 MHDA- 1990/01/01 00:01 CRDT- 1990/01/01 00:00 PHST- 1990/01/01 00:00 [pubmed] PHST- 1990/01/01 00:01 [medline] PHST- 1990/01/01 00:00 [entrez] PST - ppublish SO - Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:1185-7.