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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