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== Post-operative care == === Venous Thromboembolism === *'''<span style="color:#ff0000">Extended (4 weeks) venous thromboembolism prophylaxis should be considered in all radical cystectomy cases</span>''' **'''The incidence of symptomatic venous thromboembolism in short-term follow-up after radical cystectomy is 3-12%''', of which > 50% of cases will occur after hospital discharge. *** Meta-analyses of clinical trials in patients undergoing major abdominal oncologic operations suggest a decreased risk of venous thromboembolisms for patients receiving '''extended (4 weeks) venous thromboembolism prophylaxis.''' *** Although the relative risk of bleeding also increases, the overall net benefit of extended prophylaxis clearly favors use for at least 28 days postoperatively. *** Extrarenal eliminated prophylaxis agents are preferred given the risk of renal insufficiency in radical cystectomy cases, with newer oral anticoagulants providing an alternative route of administration. *** [https://pubmed.ncbi.nlm.nih.gov/29113840/ Klaassen, Zachary, et al.]" Extended venous thromboembolism prophylaxis after radical cystectomy: A call for adherence to current guidelines." The Journal of urology 199.4 (2018): 906-914.
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