Four-year evolution of a thrombophylaxis protocol in an Enhanced Recovery After Surgery (ERAS) program: Recent results in 485 patients
Obesity Surgery May 18, 2018
Blanchet MC, et al. - Administration of thrombophylaxis selectively to high-risk morbidly obese patients (assessed postoperatively by Caprini score ≥3) undergoing omega loop gastric bypass (“mini” gastric bypass) or sleeve gastrectomy resulted in safe outcomes during the 4-year evolution of a bariatric “Enhanced recovery after surgery” (ERAS) protocol. With this protocol, both procedures proved equally effective. Antithrombotic heparin seemed not required in a vast majority of rapidly mobilized, low-risk patients. Recent year’s results in 485 patients demonstrated a mean LOS of 1.08 ± 0.64 days, 13 30-day complications, two reinterventions, and no hemorrhages.
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