Venous Thromboembolism in Abdominoplasty: A Comprehensive Approach to Lower Procedural Risk

Abstract

A comprehensive approach to perioperative and intraoperative patient care has allowed outpatient abdominoplasty to be safely performed without VTE chemoprophylaxis in patients with fewer than six risk factors.

The Impact of Perioperative Warming in an Outpatient Aesthetic Surgery Setting

“…[35][36][37][38] Areas of focus include surgical-site infections, 39,40 capsular contracture, 41 and venous thromboembolism. [42][43][44] The effects of hypothermia on surgical outcomes have been well documented. As emphasized by Adams et al, 15 prevention of hypothermia is an important element of a comprehensive approach to patient safety in aesthetic surgery.…”

Cosmetic Body Lift

“…Despite the possible increased risk of deep vein thrombosis in an abdominoplasty, 32,33 chemoprophylaxis was not indicated for any patients according to their Caprini risk assessment, 34 and it was deferred because of the extensive intraoperative dissection in this procedure. Early mobilization and pneumatic compression devives were our preferred modalities of prophylaxis, as in other investigations, 35,36 and they produced appropriate low-risk outcomes in our approach.…”

Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps

“…[57] This can be contrasted with a historical study of abdominoplasty without VTE prophylaxis where the high risk patients with Caprini score >8 had a 11.3% incidence of VTE. [58]…”