What rheumatological drugs should be stopped or continued preop?
All non biological drugs should be continued. Biological drugs should be stopped for one cycle, unless severe SLE
Extended prophylaxis with LMWH for up to 4 weeks postoperatively is recommended for
patients undergoing major open or laparoscopic abdominal or pelvic surgery for cancer who have high-risk features, such as restricted mobility, obesity, or history of VTE, or who have additional risk factors. This patient is undergoing high-risk surgery and has obesity as an additional risk for VTE, and extended prophylaxis is warranted.
Vaccine