Question 20
A 50-year-old female presents to the pre-admission clinic ahead of an elective, scheduled laparoscopic ventral hernia repair. She has no personal or family history of venous thromboembolism (VTE), does not smoke, has a normal body mass index (BMI) of 22 kg/m², and takes no regular medications. Her baseline cardiovascular, respiratory, and hematological examinations are entirely unremarkable. The anticipated duration of the laparoscopic surgical procedure is approximately 45 minutes, and she is expected to be fully ambulatory shortly after recovering from general anesthesia. According to Australian surgical guidelines, what is the most appropriate venous thromboembolism prophylaxis regimen for this patient?
a) Intermittent Pneumatic Compression (IPC) devices alone
b) Combined Intermittent Pneumatic Compression (IPC) and Low-Molecular-Weight Heparin (LMWH)
c) Graduated compression stockings combined with twice-daily subcutaneous Unfractionated Heparin
d) Routine early post-operative ambulation and hydration without mechanical or chemical prophylaxis
e) Low-Molecular-Weight Heparin (LMWH) alone starting 2 hours post-operatively @DrShakoree @amcmcq #April2026@amcmcq
3June 3, 2026 2.9K 5 2
