Lomeli-Reyes David, Martinez-Esteban Alejandro, Barron-Cervantes Natalia M, Peña Sofia, Torres Villalobos Gonzalo, G Gidi Alejandro D
General and Gastrointestinal Surgery Service, Medica Sur Hospital, Mexico City, MEX.
Internal Medicine, Fundacion Clinica Medica Sur, Mexico City, MEX.
Cureus. 2025 Jun 23;17(6):e86593. doi: 10.7759/cureus.86593. eCollection 2025 Jun.
Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a significant source of morbidity and mortality in patients undergoing bariatric surgery. As the prevalence of obesity and metabolic syndrome continues to rise, particularly in Mexico, the number of bariatric procedures has also increased. However, optimal strategies for thromboprophylaxis in laparoscopic bariatric surgery remain unclear, with limited data specific to the Mexican population. This study aimed to evaluate the incidence of VTE as the primary outcome and the safety and associated complications of different thromboprophylaxis strategies in patients undergoing laparoscopic bariatric surgery at a tertiary care center in Mexico City. Specifically, the study compared mechanical prophylaxis to combined mechanical and pharmacological prophylaxis. The findings provide objective data on the effectiveness of these approaches in preventing VTE and related complications in this patient population.
静脉血栓栓塞症(VTE),包括深静脉血栓形成(DVT)和肺栓塞(PE),是肥胖症手术患者发病和死亡的重要原因。随着肥胖症和代谢综合征的患病率持续上升,尤其是在墨西哥,肥胖症手术的数量也有所增加。然而,腹腔镜肥胖症手术中血栓预防的最佳策略仍不明确,针对墨西哥人群的具体数据有限。本研究旨在评估静脉血栓栓塞症的发生率作为主要结局,以及在墨西哥城一家三级护理中心接受腹腔镜肥胖症手术的患者中,不同血栓预防策略的安全性和相关并发症。具体而言,该研究将机械预防与机械和药物联合预防进行了比较。研究结果提供了关于这些方法在预防该患者群体静脉血栓栓塞症及相关并发症有效性的客观数据。