Types of Procedure



Types of Procedure / Risk Clarification

Please scroll down to access relevant specialty

1. Breast / Endocrine Surgery

2. Colo- Rectal Surgery

3. General Surgery & Upper GI Surgery

4. Gynaecological Surgery

5. HPB Surgery

6. Thoracic Surgery

7. Urology Surgery

8. Vascular Surgery

1. Breast / Endocrine Surgery

The below procedures are based on the thrombotic risk for a “standard patient” undergoing a procedure.

If a patient has any high risk criteria (defined as one or more criteria on the VTE risk assessment form) then “high risk” advice should be followed.

|No Prophylaxis required |Flow Trons / TEDS only |Standard Risk (Tinzaparin 3500 units) +|High Risk (Tinzaparin 4500 units) + |

| | |TEDS / Flow Trons |TEDS / Flow Trons |

| |Neck Surgery all types |Breast Surgery all types (low patient |Breast Surgery all types (high patient |

| | |Risk factors) |Risk factors) |

| |Endocrine surgery all types | | |

2. Colo-rectal Surgery

The below procedures are based on the thrombotic risk for a “standard patient” undergoing a procedure.

If a patient has any high risk criteria (defined as one or more criteria on the VTE risk assessment form) then “high risk” advice should be followed.

|No Prophylaxis required |Flow Trons / TEDS only |Standard Risk (Tinzaparin 3500 units) +|High Risk (Tinzaparin 4500 units) + |

| | |TEDS / Flow Trons |TEDS / Flow Trons |

|EUA |Groin hernia |Close Ileostomy |Left Pelvic colon resection for cancer |

|Fistula |SNS | |Left Pelvic colon resection for IBD / |

| | | |rev Hartmans |

|Sphincterotomy |Haemorrhoid procedures | |Proctocolectomy |

| | | |Incisional hernia |

| | | |Colon resection (right / transverese) |

| | | |Emergency laparotomy for GB / PUD / |

| | | |trauma |

3. General Surgery & Upper GI Surgery

The below procedures are based on the thrombotic risk for a “standard patient” undergoing a procedure.

If a patient has any high risk criteria (defined as one or more criteria on the VTE risk assessment form) then “high risk” advice should be followed.

|No Prophylaxis required |Flow Trons / TEDS only |Standard Risk (Tinzaparin 3500 units) +|High Risk (Tinzaparin 4500 units) + |

| | |TEDS / Flow Trons |TEDS / Flow Trons |

|Local Anaesthetic Procedures | |Laparoscopic Nissens |Laparoscopic/open Oesophagectomy |

| | |(unless high patient risk factors) | |

|Groin hernia repair | |Laparoscopic cholecystectomy |Laparoscopic/open Gastrectomy |

| | |(unless high patient risk factors) | |

| | |hernia repair |Bariatric Surgery |

| | |(unless high patient risk factors) | |

| | |Laparoscopic ventral/incisional | |

| | |(unless high patient risk factors) | |

4. Gynaecological Surgery

The below procedures are based on the thrombotic risk for a “standard patient” undergoing a procedure.

If a patient has any high risk criteria (defined as one or more criteria on the VTE risk assessment form) then “high risk” advice should be followed.

|No Prophylaxis required |Flow Trons / TEDS only |Standard Risk (Tinzaparin 3500 units) +|High Risk (Tinzaparin 4500 units) + |

| | |TEDS / Flow Trons |TEDS / Flow Trons |

| |Hysteroscopy +/- minor treatment |Laparoscopic ovarian cystectomy, |Major oncology procedures |

| |Endometrial ablation (not including |Salpingectomy, |Vaginal Hysterectomy |

| |TCRE) | | |

| |Cystoscopy |Oophorectomy |Pelvic Floor repair |

| |Cervical cautery |Diagnostic laparoscopy with minor |Abdominal hysterectomy |

| | |treatment | |

| |Vulval biopsies |TVT/TVT-O |Lap Assisted Vaginal hysterectomy |

| |Marsupialisation Bartholins cyst |Isolated Anterior repair |Sacrocolpopexy |

| |Termination of pregnancy |Isolated Posterior repair |TVM |

| |Evacuation of uterus |Operative hysteroscopy > 30 mins |Myomectomy |

| | |duration | |

| | | |Laparotomy |

| | | |Open salpingectomy |

| | | |Oophorectomy, ovarian |

| | | |Cystectomy |

| | | |Open sterilisation |

5. HBP Surgery

The below procedures are based on the thrombotic risk for a “standard patient” undergoing a procedure.

If a patient has any high risk criteria (defined as one or more criteria on the VTE risk assessment form) then “high risk” advice should be followed.

|No Prophylaxis required |Flow Trons / TEDS only |Standard Risk (Tinzaparin 3500 units) +|High Risk (Tinzaparin 4500 units) + |

| | |TEDS / Flow Trons |TEDS / Flow Trons |

|Lumps | |In Patient Hernias | |

| | |(unless high patient risk factors) | |

|Day Case Hernias | |Laparoscopic cholecystectomy | |

| | |(unless high patient risk factors) | |

| | | |Liver Resections with prothombin |

| | | |time ................
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