Ayşe Ceren DUYMUŞ, Aşkın DOĞAN
Anatolian Journal of Obstetrics and Gynecology Research - 2026;3(1):39-45
Deep vein thrombosis (DVT) and venous thromboembolism represent major causes of postoperative morbidity and mortality in gynecological surgical practice. The aim of this study was to evaluate the incidence of DVT among patients undergoing benign gynecological procedures, identify relevant risk factors, assess the utility of the modified Caprini risk assessment model, and examine the effectiveness of thromboprophylaxis strategies. The modified Caprini risk score was used to evaluate DVT risk. Demographic characteristics, body mass index, hormonal therapy use, operative details, postoperative mobilization time, and thromboprophylaxis data were collected. Then, the incidence rates of DVT were compared between the group of patients receiving prophylactic anticoagulation and those not receiving it. All statistical analysis was performed using SPSS 15.0 (IBM İnc., Armonk, NY, USA), and categorical and continuous variables were analyzed using appropriate parametric and non-parametric tests, with a p<0.05 considered statistically significant. A majority (84.3%) of the 172 patients included were classified as high- or very-high-risk according to the modified Caprini model. Overweight and obesity were common (35.7% and 29.7%, respectively). Low-molecular-weight heaprin (LMWH) prophylaxis was administered to 55% of patients. Only one patient (0.58%) developed DVT. No significant difference in DVT incidence was found between those who received LMWH and those who did not. Mechanical prophylaxis was not applied in any patient, yet no DVT occurred in the moderate-risk group. The modified Caprini score may overestimate risk in this population. Gynecology-specific risk assessment tools are needed.
