# Optimal Thromboprophylaxis in Laparoscopic Bariatric Surgery in a Private Third-Level Center in Mexico City

**Authors:** David Lomeli-Reyes, Alejandro Martinez-Esteban, Natalia M Barron-Cervantes, Sofia Peña, Gonzalo Torres Villalobos, Alejandro D G. Gidi

PMC · DOI: 10.7759/cureus.86593 · 2025-06-23

## TL;DR

This study examines the best ways to prevent blood clots in bariatric surgery patients in Mexico City.

## Contribution

The study provides new data on thromboprophylaxis effectiveness in a Mexican bariatric surgery population.

## Key findings

- Compared mechanical and combined mechanical-pharmacological thromboprophylaxis in bariatric surgery.
- Evaluated VTE incidence and safety outcomes in a Mexican tertiary care center.
- Offered insights into optimal strategies for preventing venous thromboembolism in this population.

## Abstract

Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a significant source of morbidity and mortality in patients undergoing bariatric surgery. As the prevalence of obesity and metabolic syndrome continues to rise, particularly in Mexico, the number of bariatric procedures has also increased. However, optimal strategies for thromboprophylaxis in laparoscopic bariatric surgery remain unclear, with limited data specific to the Mexican population. This study aimed to evaluate the incidence of VTE as the primary outcome and the safety and associated complications of different thromboprophylaxis strategies in patients undergoing laparoscopic bariatric surgery at a tertiary care center in Mexico City. Specifically, the study compared mechanical prophylaxis to combined mechanical and pharmacological prophylaxis. The findings provide objective data on the effectiveness of these approaches in preventing VTE and related complications in this patient population.

## Linked entities

- **Diseases:** obesity (MONDO:0011122), metabolic syndrome (MONDO:0000816), venous thromboembolism (MONDO:0005399), pulmonary embolism (MONDO:0005279)

## Full-text entities

- **Diseases:** obesity (MESH:D009765), VTE (MESH:D054556), PE (MESH:D011655), metabolic syndrome (MESH:D024821), DVT (MESH:D020246)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12285611/full.md

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Source: https://tomesphere.com/paper/PMC12285611