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Surgery - OCP (oral Contraceptive Pills)
Estrogen-containing contraceptive pills (OCPs) elevate the risk of thromboembolic illness in women who use them before undergoing surgery. Progesterone-only contraceptives seem to present minimal or no supplementary risk and may be maintained throughout surgical procedures. The elevation in risk correlates with the magnitude of the surgical procedure and the presence of comorbidities; recommendations are modified accordingly. •
Low-risk procedures, such as dentistry, day case, and minor laparoscopic surgeries. • Oral contraceptive pills may be resumed. • Moderate risk procedures include abdominal, orthopedic, and major breast surgeries. • Oral contraceptive pills should be ceased at least one month before elective surgery. • Urgent or emergency surgeries must be performed with comprehensive thromboprophylaxis (see to % Prophylaxis—antibiotics and thromboprophylaxis, pp. 98–9). • High-risk procedures include pelvic and lower limb orthopaedic surgeries, as well as cancer surgeries. • Oral contraceptive pills (oCP) should be ceased at least one month before elective surgery. • Urgent or emergency surgeries necessitate the implementation of prolonged thromboprophylaxis, which includes both antibiotics and thromboprophylaxis.
Estrogen-containing contraceptive pills (OCPs) elevate the risk of thromboembolic illness in women who use them before undergoing surgery. Progesterone-only contraceptives seem to present minimal or no supplementary risk and may be maintained throughout surgical procedures. The elevation in risk correlates with the magnitude of the surgical procedure and the presence of comorbidities; recommendations are modified accordingly. •
Low-risk procedures, such as dentistry, day case, and minor laparoscopic surgeries. • Oral contraceptive pills may be resumed. • Moderate risk procedures include abdominal, orthopedic, and major breast surgeries. • Oral contraceptive pills should be ceased at least one month before elective surgery. • Urgent or emergency surgeries must be performed with comprehensive thromboprophylaxis (see to % Prophylaxis—antibiotics and thromboprophylaxis, pp. 98–9). • High-risk procedures include pelvic and lower limb orthopaedic surgeries, as well as cancer surgeries. • Oral contraceptive pills (oCP) should be ceased at least one month before elective surgery. • Urgent or emergency surgeries necessitate the implementation of prolonged thromboprophylaxis, which includes both antibiotics and thromboprophylaxis.
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