Abstract
Venous thromboembolism (VTE) is a potential complication of surgical procedures and represents a preventable cause of death in the surgical population. Perioperative management focuses on prevention of VTE in all patients, resumption of anticoagulation in patients who are chronically receiving it, and diagnosis and treatment of new postoperative VTE. VTE risk in surgical patients is determined by patient-related factors and type of surgery. Decisions about anticoagulation should be individualized for a patient’s particular risk of both VTE and surgical bleeding. Several medications are approved for the prevention and treatment of VTE, and guidelines favor individualized risk assessment when selecting treatment.
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