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Revista Cubana de Anestesiología y Reanimación
versión On-line ISSN 1726-6718
Resumen
MACHADO ALVAREZ, Mayuri. Thromboembolic disease prophylaxis in laparoscopic surgery. Rev cuba anestesiol reanim [online]. 2013, vol.12, n.3, pp. 252-260. ISSN 1726-6718.
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.
Palabras clave : thromboembolic disease (VTE); laparoscopic surgery.