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. 2022 Aug 22:49:e20223326.
doi: 10.1590/0100-6991e-20223326-en. eCollection 2022.

Protocol for prophylaxis of venous thromboembolism in varicose vein surgery of the lower limbs

[Article in English, Portuguese]
Marcos Arêas Marques  1   2 , Stênio Karlos Alvim Fiorelli  1 , Bernardo Cunha Senra Barros  1 , Alcides José Araújo Ribeiro  3 , Arno VON Ristow  4 , Rossano Kepler Alvim Fiorelli  1   4
Affiliations

Protocol for prophylaxis of venous thromboembolism in varicose vein surgery of the lower limbs

[Article in English, Portuguese]
Marcos Arêas Marques et al. Rev Col Bras Cir. .

Abstract
in English, Portuguese

Pulmonary embolism is the most feared complication of venous thromboembolism (VTE) and the third leading cause of cardiovascular mortality in the world, after acute myocardial infarction and stroke. The risk of VTE is virtually universal in hospitalized patients, especially those with reduced mobility. Although variable in incidence between clinical and surgical patients, up to 66.6% of events related to hospitalizations can occur after discharge, with this risk remaining for up to 90 days. Despite all the investment made in VTE prophylaxis in recent decades, there is still no consensus or specific guidelines for its prevention in patients undergoing conventional surgery for varicose veins of lower limbs. The adoption of a validated risk assessment model for VTE prophylaxis, based on the current literature, may help in the implementation and standardization of VTE prophylaxis in conventional lower limb varicose vein surgery, in addition to this benefit, it may lead to a reduction in the length of hospital stay and the number of readmissions.

O tromboembolismo pulmonar é a complicação mais temida do tromboembolismo venoso (TEV) e a terceira causa de mortalidade cardiovascular no mundo, atrás apenas do infarto agudo do miocárdio e do acidente vascular cerebral. O risco de TEV é praticamente universal nos pacientes hospitalizados, especialmente naqueles com redução da mobilidade. Embora variável em incidência entre os pacientes clínicos e cirúrgicos, até 66,6% dos eventos relacionados às internações, podem ocorrer após a alta, permanecendo este risco por até 90 dias. Apesar de todo investimento feito na profilaxia do TEV nas últimas décadas, ainda não existem consensos ou diretrizes específicos para a sua prevenção em pacientes submetidos à cirurgia convencional de varizes dos membros inferiores. A adoção de um modelo de avaliação de risco validado para a profilaxia do TEV, embasado na literatura vigente, poderá ajudar na implementação e padronização da profilaxia do TEV na cirurgia convencional de varizes de membros inferiores, além deste benefício, poderá levar a diminuição do tempo de internação hospitalar e do número de reinternações.

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Conflict of interest statement

Conflict of interest: no.

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