Key result
Perioperative management of oral anticoagulants and antiplatelet agents in gynaecological procedures requires careful assessment of patient and procedural risks of thrombosis and bleeding.
Why the study?
The number of women attending gynaecological services who take oral anticoagulants and antiplatelet agents is increasing, requiring up-to-date perioperative knowledge to reduce unnecessary cancellations, delays, and risks of thrombosis and bleeding.
This review highlights the importance of assessing patient- and procedural-related risks of thrombosis and bleeding for women on anticoagulants undergoing gynaecological procedures.
Requires individualized antithrombotic risk assessment before gynaecological procedures; leaves open need for prospective trials to standardize protocols.
Key content The number of women attending gynaecological services who are taking oral anticoagulants and antiplatelet agents is increasing. Direct oral anticoagulants are becoming increasingly popular and offer an alternative to warfarin. Knowledge of the use of anticoagulants in the perioperative period is imperative to provide optimal care and ensure patient safety. It is essential that health professionals practising gynaecology, at all levels, keep up to date to reduce unnecessary cancellations, delays in treatment and risks of thrombosis and bleeding. Learning objectives To understand the management of women on oral anticoagulant and antiplatelet agents undergoing elective and emergency gynaecological procedures. To appreciate the importance of assessing patient‐ and procedural‐related risks of thrombosis and bleeding. To review commonly used anticoagulant and antiplatelet agents.
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Goh et al. (2020) conducted a review in Women on oral anticoagulants and antiplatelet agents undergoing gynaecological procedures. Perioperative management of oral anticoagulants and antiplatelet agents was evaluated. Perioperative management of oral anticoagulants and antiplatelet agents in gynaecological procedures requires careful assessment of patient and procedural risks of thrombosis and bleeding.
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