שאלה משלב א׳ בכירורגיה אורולוגית · מועד 2022, שאלה 93

Correct: B — enoxaparin for a month after the operation. Extended thromboprophylaxis for about four weeks after radical cystectomy is a cornerstone of the ERAS pathway, because the risk of venous thromboembolism in this population persists well beyond discharge. The other options contradict the ERAS protocol: opioid-sparing multimodal analgesia is used rather than opioid PCA (option A), and both mechanical bowel preparation and oral antibiotic bowel preparation are omitted before cystectomy (options C and D), having been shown to confer no benefit while prolonging ileus and dehydrating the patient.

מקור: ch.142 p.3259