The protocol we use differs from Wisconsin and modified Wisconsin protocols:

We do not use warfarin because of our concerns about patient compliance after discharge. Instead, we initiate heparin infusion at the postoperative 6th hour. On postoperative 1st day. subcutaneous enoxaparin is initiated. Aspirin was initiated during the discharge. We prefer lisinopril instead of enapril and we routinely use sildenafil. If the drainage continued, fat is withdrawn from the diet except medium chain triglycerides and total parenteral nutrition is initiated if necessary. We apply catheter angiography for diagnosis and treatment for drainage periods longer than 14 days.