Dual antiplatelet treatment in patients candidates for abdominal surgery

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COD: 291-294 Categorie: ,

Giulio Illuminati, Gianluca Ceccanei, Maria A. Pacilè, Giulia Pizzardi, Piergaspare Palumbo, Francesco Vietri

Ann. Ital. Chir., 2013 84: 291-294

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With the increasing diffusion of percutaneous interventions (PCI), surgeons are often faced with the problem of operating on patients under dual antiplatelet treatment. Replacing dual antiplatelet regiment with low molecular weight heparin may expose to the abrupt thrombosis of coronary stent and massive myocardial infarction. The purpose of this study was to test the hypothesis that abdominal operations can be safely performed under dual antiplatelet treatment. Eleven patients underwent 5 colectomies, 3 nefrectomies, 2 gastrectomies and 1 hysterectomy under aspirin and plavix without any significant perioperative hemorrhage. These preliminary results show that abdominal operations can be safely performed under dual antiplatelet regimen.

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