ABSTRACT
Deep vein thrombosis (DVT) can result in significant morbidity and mortality if not
recognized and treated effectively. It is a common but largely preventable perioperative
complication. In addition to increasing the perioperative mortality rate, usually
as a result of massive pulmonary embolism (PE), DVT also prolongs hospitalization
and hence increases healthcare costs. Despite overwhelming evidence of the effectiveness
of regimens for DVT prophylaxis, and well-documented risk factors for venous thromboembolism
(VTE), many surgeons still do not routinely practice perioperative DVT prophylaxis.
This article outlines the various aspects of DVT prophylaxis, and acts as a guide
for perioperative DVT prophylaxis in general and colorectal surgery.
KEYWORDS
Venous thromboembolism - deep vein thrombosis - pulmonary embolism - heparin - low-molecular-weight
heparin
