This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Thromboembolism incidence and prophylaxis use after gastrectomy among Korean patients with gastric adenocarcinoma. The PROTECTOR randomized clinical trial. JAMA Surg 2018; 153: 939-946.

Published: 9th April 2019

Authors: Jung YJ, Seo HS, Park CH, Jeon HM, Kim J-I, Yim HW et al.

Conclusion

The addition of low molecular weight heparin to intermittent pneumatic compression reduced the risk of venous thromboembolism from 3.6 to 0.6 per cent (P=0.008) in this study that included 682 procedures. It did, however, also increase the risk of bleeding complications: 9.1 versus 1.2 per cent, P<0.001.

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