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the drainage continued, fat is withdrawn from the diet except medium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.