[Digestive surgery and varicose vein surgery] - Université Jean-Monnet-Saint-Étienne Access content directly
Journal Articles Annales Françaises d'Anesthésie et de Réanimation Year : 2005

[Digestive surgery and varicose vein surgery]

A. Steib
  • Function : Author
B. Vailly
  • Function : Author
S. Rohr
  • Function : Author
I. Daudenthun
  • Function : Author
E. Mazoyer
  • Function : Author
Peter Wind
  • Function : Author

Abstract

The thromboembolic risk related to surgery may be considered as low for varicose vein surgery and non major digestive surgery. It could be defined as moderate in case of large dissection, long duration of procedures and emergency cases. The risk may be considered as high for major abdominal surgery involving cancer surgery or not and bariatric surgery. The absence of prophylaxis can be proposed for low risk surgery (grade B). However, elastic compression stocking are effective for all cases of digestive surgery and suggested to be used (grade A). There are no data concerning the moderate risk situation. Therefore, experts recommend the use of elastic compression stockings or low doses of LMWH (grade D). High-risk surgery requires the use of high doses of LMWH recommended for reasons of efficacy, tolerance, and easiness to use (grade A). Associated elastic stockings is efficious (grade B). The duration of prophylaxis lasts generally 7-10 days. Extension to 1 month is recommended for major abdominal cancer surgery (grade A).

Domains

Pharmacology

Dates and versions

ujm-00440299 , version 1 (10-12-2009)

Identifiers

Cite

A. Steib, S. Laporte, B. Vailly, S. Rohr, I. Daudenthun, et al.. [Digestive surgery and varicose vein surgery]. Annales Françaises d'Anesthésie et de Réanimation, 2005, 24 (8), pp.890-901. ⟨10.1016/j.annfar.2005.05.009⟩. ⟨ujm-00440299⟩
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