Meias de compressão, "anticoagulantes orais" e anticoagulantes

Ossos, articulações e músculos
1

On many of these threads, members refer to whether or not you should wear compression stockings and for how long. They also refer to taking blood thinners. These two areas of treatment seem to be very misunderstood. All patients undergoing a hip replacement should in the first instance ask their surgeon what is advised but if in doubt the following may help.

Compression stockings are used after surgery to prevent blood clots developing in the leg which is known as deep vein thrombosis (DVT). They are normally recommended if it is likely that you will be unable to move around much after surgery; either due to the after-effects of surgery or having another medical condition affecting your mobility.

When you're admitted to hospital, your risk of DVT will be assessed by your surgeon to decide whether you need compression stockings. You may need to wear stockings even if you're able to leave hospital on the same day as your operation. They should normally be worn until you are mobile and have stopped taking the anticoagulant drugs

Anticoagulants such as Pradaxa work by interrupting the process involved in the formation of blood clots. They're sometimes called "blood-thinning" medicines, although they don't actually make the blood thinner. Used for similar purposes, anticoagulants are different to blood thinners, such as low-dose aspirin.

Always ask your surgeon about these issues.

2

What country are you in ? 

3

Hi Tony. I didn't have stocking but woke up from surgery with these devices on my legs that filled with air every few minutes and squeezed the lower leg. I had to wear them for 30 days as well as an aspirin a day. I am in the USA

4

At the hospital I went to we had a pre op talk in which we were told everyone would have to wear stockings for six weeks, take anti coagulants (rivoraxiban) for five weeks, not drive for six weeks and a load of other things which were documented. It was not a matter of should you. We were also given a choice between a spinal and a general anaesthetic. I suppose some people may then have been told not to do some things for medical reasons.  

5

Hi Carol, we had the Sequential Compression Device for around twenty four hours after the op only. It was plugged into the electricity and was really noisy at night I thought. How did you manage to get around with it for 30 days? 

6

They were battery operated and not noisy at all. However, at night they had to be plugged in to recharge. It was very inconvenient because the plug in was down by the ankle so had to wake my husband up to unplug me if I needed to get up. Very poor design. If the plug was at least at the knee, I might have been able to do it. Maybe. Haha.

7

Hi Tony

I had the compression pump things on my feet but they were disconnected next morning and just turned on the next night again. I went home next day with just anticoagulant injections to inject myself in stomach every day for 4 weeks. That was it. No stockings at all.

Sandra

8

Dear Carol

Yes I had the pump things too for a couple of days only.....quite nice! The stockings too but for longer

Cheers Richard

9

Me foi prescrito Xarelto antes da minha primeira cirurgia, desenvolvi uma TVP quatro dias antes da minha cirurgia marcada, pois não conseguia me mover devido aos níveis de dor.

Bem, que confusão isso causou, hospital público, pois o Xarelto não estava na lista aprovada para o hospital em que eu estava marcada.

A cirurgia foi cancelada completamente, recebi uma ligação do hospital dizendo que eu havia sido removida das listas de cirurgia, não remarcada para uma data futura.

O médico de família não ficou nada satisfeito e entrou em contato com o especialista consultor que me disse que minha cirurgia era urgente e precisava ser feita o mais rápido possível.

O médico de família, que havia consultado um especialista vascular antes de me colocar no Xarelto, devido a todos os outros medicamentos que eu estava tomando para minha AR, muitos em conflito.

Para o melhor do meu conhecimento, uma carta foi escrita para o hospital para que eu fosse medicada com Xarelto pelo especialista vascular, independentemente de estar na lista aprovada ou não, as enfermeiras mencionaram que eu tinha uma carta especial no meu prontuário e me disseram que eu era a única paciente no hospital tomando Xarelto.

15 meses depois, notei que o Xarelto estava sendo dado a outros pacientes no meu quarto, então deve ter sido aprovado para uso em pacientes pós-ART.

Meias, fui orientada a usá-las até que estivesse andando pela casa.

Bombas para as pernas pós-cirurgia, eu gostava delas, lembrava-me de estar na praia e deixar as ondas quebrarem sobre as minhas pernas.

10

Sounds about right, I actually was instructed to put on the thigh high stockings in pre-op and was wearing them during my surgery and for about 3 weeks after. They are a pain to get off and on but worth it; was also on Pradaxa for a couple of weeks.

11

Where are you located?  Jeez I️ didn’t have to have any of this stuff, no compression socks, no anticoagulants, nothing except a regular aspirin once a day for 30dyas.  I live in CA, went to the very best private hospital, and used the most experienced surgeon.  Total left hip replacement, anterior method of surgery.  I️ feel for you.  I️ went home the same day as my surgery and haven’t looked back since. 

12

I had the electronic device that massaged your legs too but the noise irritated me so they put on the compression stockings. I think it is important to use these until you are fairly mobile as well as blood thinners.  I followed my surgeons advice.

13

Consider yourself lucky then.

Not all of us are Americans with the finest surgeons, the finest hospitals and best health care treatment in the world.

Most of us live in reality world.

Latest USA statistics.(2016) 22,000 law suits over hip operations gone wrong.

Think I will stick to a system that plays safe.

14

UK, as per personal; details.

My main point is always to ask your surgeon everything about the operation. It's your body and you need to know. Too many people never ask the surgeon a single question. Many do not even know what type of prosthesis they have or what type of surgery.

 

15

HimCarol

Obviously designed by someone who had not had a new hip! Our SCDs were plugged in the mains and made a sort of breathing sound. 

16

Just so you know, my insurance paid for everything.  It would have covered the same costs if I went to local community hospital or the better hospital.  I just did my due diligence and found better surgeon and hospital.  I had to wait 6 weeks for surgery, it would have been less wait at community hospital.  But both surgeon use the anterior method.

17

This forum is all about helping each other and offering whatever advice we can for those in pain which is normally the reason for coming on this forum.

Boasting about your operation and the quality of the surgeon/hospital in California hardly falls into this category.

Perhaps you have something constructive to offer the rest of us poor mortals who have had this operation.

18

Err Tony whilst Stacey's post may be of more limited interest to those not in the US, it is still interesting to have an insight into what goes on over there. Who knows, it may be where our NHS is headed though I sincerely hope not!!

Cheers Richard

19

It is interesting to hear of other peoples experiences; choices of doctors and treatments from around the globe. I myself am living and working in the middle of the USA and may have a completely different experience than someone living in other parts of the country...I am a government employee with insurance that covered all but 500 dollars of my surgery...I am very grateful and even though not a perfect outcome I am quite pleased. I have appreciated this forum as I have gained great knowledge from others on here and still follow it almost everyday!!

20

I agree with all of you that it is interesting to hear of others experiences and I have said this often.

I started this thread to help people over the confusion of wearing compression stockings and taking anticoagulant drugs vs blood thinners.

If anyone wants to talk about their experiences in the finest hospital in California or the finest surgeons and how the operations are paid for, perhaps starting a thread on that would be a better idea.