[Perioperative antithrombotic prophylaxis in varicose vein surgery]

Antithrombotic regimens to prevent venous thromboembolism are standard in the treatment of in-and outpatients with thrombotic risk factors. A classification of the level of risk is made depending on the age, kind of operation, existing hereditary or acquired thrombophilic diatheses and concomitant disease. The antithrombotic prophylaxis is performed in accordance with the classification of risk level in low, moderate, high and highest risk levels. Varicose disease is a thrombotic risk factor. Varicose vein surgery may be classified as thrombogenic. Patients with varicose vein surgery and without other clinical risk factors are low-risk patients. In case of other acquired or hereditary risk factors antithrombotic prophylaxis in varicose vein surgery with low molecular weight heparin should be used. Compression elastic stockings are obligatory.