Key result
Individualized thrombosis prophylaxis based on patient risk factors, pathophysiology, and surgical procedure is necessary to achieve the greatest level of prevention.
Optimal postoperative deep vein thrombosis prophylaxis requires an individualized approach based on patient risk factors, pathophysiology, and the specific surgical procedure.
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May support individualized postoperative thrombosis prophylaxis; leaves open prospective validation in randomized trials.
The approach to thrombosis prophylaxis must be individualized according to the patient's risk factors, pathophysiology, planned surgical procedure, and specific medical problems. Based on an assessment of all these variables, the previously recommended modalities can be used alone or in combination, according to the particular needs of the patient. No one method will be completely effective in all patients or all situations. Only through deliberate evaluation and implementation of the appropriate available modalities will the greatest level of thrombosis prophylaxis be achieved.
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Caprini et al. (1989) conducted a review in Postoperative Deep Vein Thrombosis. Thrombosis prophylaxis was evaluated. Individualized thrombosis prophylaxis based on patient risk factors, pathophysiology, and surgical procedure is necessary to achieve the greatest level of prevention.
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