Abstract | INTRODUCTION:
Venous thromboembolism (VTE) has been identified as a major public health issue. Postbariatric body contouring surgery represents a major challenge for VTE prophylaxis due to the presence of multiple risk factors and broad areas of dissection that potentially increase the risk of postoperative bleeding. AIM: To define current VTE prophylaxis practices among surgeons of the American Society of Plastic Surgeons, performing postbariatric body contouring surgery in the United States. MATERIAL AND METHODS: A total of 4081 surveys were sent to registered members of the American Society of Plastic Surgeons by e-mail. We received 596 (14.6%) responses. RESULTS: A total of 596 surgeons returned completed surveys, with 83% of respondents in private practice and 17% in academic practice. Deep venous thrombosis (DVT) was reported by 40% surgeons, pulmonary embolism (PE) by 34%, and 7% had at least 1 patient having died of a postoperative PE. About 39% to 48% participant surgeons reported providing no chemoprophylaxis to their postbariatric body contouring patients. The most common reason for not using routine prophylaxis was the concern for bleeding (84%), followed by lack of evidence specific to plastic surgery practice (50%). Academic surgeons were more likely to provide chemoprophylaxis when compared with those in nonacademic practice (P < 0.05). CONCLUSION:
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Authors | Julio A Clavijo-Alvarez, Christopher J Pannucci, Adam J Oppenheimer, Edwin G Wilkins, J Peter Rubin |
Journal | Annals of plastic surgery
(Ann Plast Surg)
Vol. 66
Issue 3
Pg. 228-32
(Mar 2011)
ISSN: 1536-3708 [Electronic] United States |
PMID | 21200311
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Anticoagulants
(therapeutic use)
- Attitude of Health Personnel
- Bariatric Surgery
(adverse effects, statistics & numerical data)
- Humans
- Postoperative Complications
(epidemiology, etiology, prevention & control)
- Practice Patterns, Physicians'
(statistics & numerical data)
- Surveys and Questionnaires
- Thromboembolism
(epidemiology, etiology, prevention & control)
- United States
(epidemiology)
- Venous Thrombosis
(epidemiology, etiology, prevention & control)
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