Dr Nico Coetzee - General Surgeon CONTACT US
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Dr Coetzee joined the Medi Clinic group at  Somerset West in 2009..Previously  active and involved in the evolution of Laparoscopic Surgery as a participant and as an educator at Tygerberg Hospital in the Western Cape.

Dr Coetzee joined the Medi Clinic group at  Somerset West in 2009..Previously  active and involved in the evolution of Laparoscopic Surgery as a participant and as an educator at Tygerberg Hospital in the Western Cape.

Deep Vein Thrombosis


There are many risk factors that may influence the patient’s ability to develop DVT.


Recommendations


All patients undergoing major surgical intervention for malignant disease should be considered for thromboprophylaxis.

Patients undergoing laparotomy, laparoscopy, or thoracotomy Lasting greater than 30 min should receive pharmalogical thromboprophylaxis with either low-dose UFH or LMWH unless Contraindicated because of a high risk of bleeding or active bleeding.

Prophylaxis should be commenced preoperatively, or as early as possible in the postoperative period.


More than half of the DVT’s that develop may be “silent”. On your admission form for surgery the DVT prophylaxis will be indicated as a routine unless there are reasons to omit the drug prior to surgery. This usually may be because the anesthetist would like to place an epidural catheter for pain control. These will be discussed.

DVT PROPHLAXIS

Watch Our Video’s

UNDERSTANDING GASTRO ESOPHOGEAL REFLUX  DISEASE

LAPAROSCOPIC SURGERY FOR TO TREAT GASTRO ESOPHOGEAL REFUX DISEASE

UNDERSTANDING COLON RESECTION SURGERY

UNDERSTANDING DIAGNOSTIC LAPROSCOPY PART 1

UNDERSTANDING  DIAGNOSTIC LAPROSCOPY  PART 2

 UNDERSTANDING LAPAROSCOPIC GALL BLADDER REMOVAL

UNDERSTANDING A COLONOSCOPY

 ABOUT COLON CANCER

BREAST CANCER