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CLOT RISK SPECIFIC SURGERY

ANCHOR LEAD:  CERTAIN TYPES OF SURGERY ARE MORE OFTEN ASSOCIATED WITH BLOOD CLOTS, ELIZABETH TRACEY REPORTS

Orthopedic surgeryin women, especially knee and hip replacements, increase the risk for dangerous blood clot formation over 200 times more than in women who don’t undergo such surgeries, data from the Million Women Study reveal.   Since these clots can be life-threatening, Pam Lipsett, a surgeon at Johns Hopkins, says it may be necessary to use anticlotting medications for a prolonged period.

LIPSETT:  Certainly it should be discussed with their physician.  My feeling is that the highest risk procedures, clearly the orthopedic surgery I think should go out at least four or five weeks and this study would say maybe even longer.  Myself I would consider high risk cancer surgery in the same category to really examine whether we’re doing the right thing if we don’t ‘discuss this and if we don’t prescribe or consider prescribing these for longer duration.              :31

Lipsett says blood monitoring is needed for the most common type of anticlotting medication.  At Johns Hopkins, I’m Elizabeth Tracey.



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