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

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.