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Revista Cubana de Anestesiología y Reanimación

2013, Number 3

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Revista Cubana de Anestesiología y Reanimación 2013; 12 (3)

Thromboembolic disease prophylaxis in laparoscopic surgery

Machado ÁM

Language: Spanish
References: 21
Page: 252-260
PDF size: 67.52 Kb.


ABSTRACT

Introduction: the perioperative venous thromboembolic disease is the one that occurs in surgery and is observed in the immediate or late postoperative period. Its evolution can be diverse, from low to high severity. The incidence of this complication in minimally invasive surgery is similar to that of the conventional surgery.
Objectives: to update the studies of the topic about the thromboembolic disease prophylaxis in laparoscopic surgery.
Development: minimal access techniques have incorporated high complexity procedures, similar to the ones carried out by open surgery that are at high risk of venous thromboembolic disease. There are different prophylaxis methods in literature. With the present evidence, specific recommendations have been elaborated for different interventions performed laparoscopically according to the risk stratification.
Conclusions: in patients with risk factors or scheduled for long laparoscopic surgery, mechanic methods and adequate doses of LMWH according to the risk level should be used.


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