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Review
. 2019 Oct 23;15(668):1934-1939.

[Thromboprophylaxis in gynecological surgery : towards a comprehensive prevention]

[Article in French]
Joana Pinto  1 , Sebastiano Bartoletti  2 , Marc Blondon  3 , Georges Savoldelli  2   4 , Patrick Petignat  1   2 , Jean Dubuisson  1   2
Affiliations
  • PMID: 31643154
Review

[Thromboprophylaxis in gynecological surgery : towards a comprehensive prevention]

[Article in French]
Joana Pinto et al. Rev Med Suisse. .

Abstract
in English, French

Venous thromboembolic events (VTE), defined by deep vein thrombosis or pulmonary embolism, are potentially serious complications after gynecologic surgery. Without thromboprophylaxis, they are common and can lead to significant morbidity and mortality. Conversely, poorly adapted prophylaxis can be hazardous. Risk factors related to the patients and to the types of surgery have been identified and can be used to adapt the prophylaxis. Several recommendations have been proposed; however, no clear consensus exists. This article reviews the pathophysiology and specific risk factors of post-gynecologic surgical VTE and provides comprehensive and practical recommendations for perioperative thromboprophylaxis in gynecology, based on various international recommendations.

La maladie thromboembolique veineuse (MTEV), regroupant la thrombose veineuse profonde et l’embolie pulmonaire, est une complication potentiellement grave rencontrée en chirurgie gynécologique. En l’absence de thromboprophylaxie, elle est fréquente et peut entraîner une morbi-mortalité conséquente. À l’inverse, une prophylaxie mal adaptée peut s’avérer délétère. Des facteurs de risque liés aux patientes mais également aux types de chirurgie ont été identifiés, permettant d’adapter la prophylaxie périopératoire. Diverses recommandations ont été proposées, sans véritable consensus. Cet article rappelle la physiopathologie ainsi que les facteurs de risque de la MTEV et propose des recommandations cohérentes et pratiques sur la thromboprophylaxie périopératoire en chirurgie gynécologique, se basant sur les diverses recommandations internationales.

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Conflict of interest statement

Les auteurs n’ont declare aucun conflit d’interets en relation avec cet article.

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