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Clin Colon Rectal Surg 2003; 16(2): 109-118
DOI: 10.1055/s-2003-40661
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Prophylaxis for Deep Vein Thrombosis

S. D. Ting, Francis Seow-Choen
  • Department of Colorectal Surgery, Singapore General Hospital, Singapore
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Publication History

Publication Date:
18 July 2003 (online)

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ABSTRACT

Deep vein thrombosis (DVT) can result in significant morbidity and mortality if not recognized and treated effectively. It is a common but largely preventable perioperative complication. In addition to increasing the perioperative mortality rate, usually as a result of massive pulmonary embolism (PE), DVT also prolongs hospitalization and hence increases healthcare costs. Despite overwhelming evidence of the effectiveness of regimens for DVT prophylaxis, and well-documented risk factors for venous thromboembolism (VTE), many surgeons still do not routinely practice perioperative DVT prophylaxis. This article outlines the various aspects of DVT prophylaxis, and acts as a guide for perioperative DVT prophylaxis in general and colorectal surgery.

KEYWORDS

Venous thromboembolism - deep vein thrombosis - pulmonary embolism - heparin - low-molecular-weight heparin

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