Towards standardized perioperative chemoprophylaxis in major elective abdominal surgery.

ANZ Journal of SurgeryVolume 93, Issue 4 p. 817-818 PERSPECTIVE Towards standardized perioperative chemoprophylaxis in major elective abdominal surgery Emma Downie BMBS, Emma Downie BMBS orcid.org/0000-0002-2205-0397 Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia Department of General Surgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia Contribution: Data curation, Formal analysis, ​Investigation, Methodology, Visualization, Writing - original draft, Writing - review & editingSearch for more papers by this authorJames May MD, James May MD orcid.org/0000-0003-1533-1155 Department of General Surgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia Contribution: Data curation, Formal analysis, Methodology, Visualization, Writing - original draft, Writing - review & editingSearch for more papers by this authorSean Stevens MSurgEd, FRACS, Sean Stevens MSurgEd, FRACS orcid.org/0000-0003-3522-1412 Department of Surgery, Austin Precinct, Austin Health, The University of Melbourne, Melbourne, Victoria, Australia Division of Surgery, Anaesthesia, and Procedural Medicine, Austin Health, Melbourne, Victoria, Australia Department of Surgery, Austin Precinct, Austin Health, General and Gastrointestinal Surgery Research Group, The University of Melbourne, Melbourne, Victoria, Australia Contribution: Conceptualization, Formal analysis, Methodology, Supervision, Writing - review & editingSearch for more papers by this authorDavid S. Liu PhD, FRACS, David S. Liu PhD, FRACS orcid.org/0000-0001-8936-4123 Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia Department of Surgery, Austin Precinct, Austin Health, The University of Melbourne, Melbourne, Victoria, Australia Division of Surgery, Anaesthesia, and Procedural Medicine, Austin Health, Melbourne, Victoria, Australia Department of Surgery, Austin Precinct, Austin Health, General and Gastrointestinal Surgery Research Group, The University of Melbourne, Melbourne, Victoria, AustraliaSearch for more papers by this author Emma Downie BMBS, Emma Downie BMBS orcid.org/0000-0002-2205-0397 Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia Department of General Surgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia Contribution: Data curation, Formal analysis, ​Investigation, Methodology, Visualization, Writing - original draft, Writing - review & editingSearch for more papers by this authorJames May MD, James May MD orcid.org/0000-0003-1533-1155 Department of General Surgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia Contribution: Data curation, Formal analysis, Methodology, Visualization, Writing - original draft, Writing - review & editingSearch for more papers by this authorSean Stevens MSurgEd, FRACS, Sean Stevens MSurgEd, FRACS orcid.org/0000-0003-3522-1412 Department of Surgery, Austin Precinct, Austin Health, The University of Melbourne, Melbourne, Victoria, Australia Division of Surgery, Anaesthesia, and Procedural Medicine, Austin Health, Melbourne, Victoria, Australia Department of Surgery, Austin Precinct, Austin Health, General and Gastrointestinal Surgery Research Group, The University of Melbourne, Melbourne, Victoria, Australia Contribution: Conceptualization, Formal analysis, Methodology, Supervision, Writing - review & editingSearch for more papers by this authorDavid S. Liu PhD, FRACS, David S. Liu PhD, FRACS orcid.org/0000-0001-8936-4123 Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia Department of Surgery, Austin Precinct, Austin Health, The University of Melbourne, Melbourne, Victoria, Australia Division of Surgery, Anaesthesia, and Procedural Medicine, Austin Health, Melbourne, Victoria, Australia Department of Surgery, Austin Precinct, Austin Health, General and Gastrointestinal Surgery Research Group, The University of Melbourne, Melbourne, Victoria, AustraliaSearch for more papers by this author First published: 03 March 2023 https://doi.org/10.1111/ans.18364Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. References 1 Australian Commission on Safety and Quality in Health Care. Venous thromboembolism prevention clinical care standard. [Cited 18 Nov 2022.] Available from URL: https://www.safetyandquality.gov.au/our-work/clinical-care-standards/venous-thromboembolism-prevention-clinical-care-standard 2Leonardi MJ, McGory ML, Ko CY. The rate of bleeding complications after pharmacologic deep venous thrombosis prophylaxis: a systematic review of 33 randomized controlled trials. Arch. Surg. 2006; 141: 790– 7. 3Liu DS, Wong E, Fong J, Stevens S, Mori K, ProtectinG Investigators VC. Perioperative thromboprophylaxis is highly variable in general surgery: results from a multicentre survey. ANZ J. Surg. 2020; 90: 2401– 3. 4Liu DS, Stevens S, Wong E et al. Pre-operative and intra-operative chemical thromboprophylaxis increases bleeding risk following elective cholecystectomy: a multicentre (PROTECTinG) study. ANZ J. Surg. 2020; 90: 2449– 55. 5Liu DS, Stevens S, Wong E et al. Variations in practice of thromboprophylaxis across general surgical subspecialties: a multicentre (PROTECTinG) study of elective major surgeries. ANZ J. Surg. 2020; 90: 2441– 8. 6 PROTECTinG investigators, VERITAS collaborative. Chemical thromboprophylaxis before skin closure increases bleeding risk after major ventral hernia repair: a multicenter cohort study. Surgery 2022; 172: 198– 204. 7Liu DS, Newbold R, Stevens S et al. Early versus postoperative chemical thromboprophylaxis is associated with increased bleeding risk following abdominal visceral resections: a multicenter cohort study. J. Gastrointest. Surg. 2022; 26: 1495– 502. 8 PROTECTinG investigators, VERITAS collaborative. Effect of timing of perioperative chemical thromboprophylaxis on thromboembolic, bleeding, and other complications during and after antireflux surgery: multicenter cohort study. BJS Open 2023. 9Liu DS, Stevens SG, Watson DI et al. Optimal timing of perioperative chemoprophylaxis in patients with high thromboembolic risk undergoing major abdominal surgery: a multicenter cohort study. Ann. Surg. 2023; 277: 79– 86. https://doi.org/10.1097/SLA.0000000000005697. 10Klonis C, Ashraf H, Cabalag CS, Wong DJ, Stevens SG, Liu DS. Optimal timing of perioperative chemical thromboprophylaxis in elective major abdominal surgery: a systematic review and meta-analysis. Ann. Surg. 2022. https://doi.org/10.1097/SLA.0000000000005764. 11 PROTECTinG investigators, VERITAS collaborative. Postoperative timing of chemoprophylaxis and its impact on thromboembolism and bleeding following major abdominal surgery: a multicenter cohort study. World J. Surg. 2023. https://doi.org/10.1007/s00268-023-06899-5. Volume93, Issue4April 2023Pages 817-818 ReferencesRelatedInformation