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  • Title: [Prevention of venous thromboembolism in obstetric & gynecology--an update].
    Author: Ben-Meir A, Varon D, Gielchinsky Y, Rojansky N.
    Journal: Harefuah; 2005 Dec; 144(12):859-64, 910. PubMed ID: 16400787.
    Abstract:
    BACKGROUND: Thromboembolic events are quite common in obstetrics and gynecology and constitute a significant cause for morbidity and mortality. Recently, a decline in complication rates has been observed following the implementation of effective preventive measures. OBJECTIVE: This article aims to review the different prevention and treatment methods and to evaluate their efficiency. Furthermore, the article strives to forge a structured approach and form appropriate protocols for our population. RESULTS: Many studies have shown that the extensive use of preventive treatment is safe, clinically effective and valuable from the cost-benefit perspective. Nevertheless, most surveys performed around the world showed that the number of surgeons that use prophylactic treatment is lower than expected. In our department, we have engaged in a discussion with our hematologist and created protocols with simple and clear flow-charts for DVT and PE prevention, both in gynecological operations and in obstetrics. CONCLUSION: The implementation of a clear departmental policy will increase the awareness and the use of preventive treatment and will potentially decrease morbidity and mortality from thromboembolic events.
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