A New Approach for Venous Thromboembolism Prevention in Plastic Surgery

Swanson, Eric

doi:10.1097/gox.0000000000004190

Cited by 5 publications

(16 citation statements)

References 32 publications

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“… 31 In a prospective series of office-based surgical procedures, 63.6% of postoperative deaths were secondary to thromboembolism. 32 Despite the fact that there are controversies about the usefulness of pharmacological prophylaxis to prevent deep vein thrombosis, with authors who support it and against it, 33 our behavior has been to use it, and we have not had any problems. However, it is very important to start thromboprophylaxis at the appropriate time to minimize the risk of bleeding secondary to its use, which we accomplish by starting administration 6 hours postsurgery, verifying that there is no active bleeding without affecting the prophylaxis effect that we are seeking.…”

Section: Discussionmentioning

confidence: 99%

Lipoabdominoplasty: What We Have Implemented and What We Have Modified over 26 Years

Cárdenas-Camarena

Reyes-Herrera

Vargas-Flores

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Lipoabdominoplasty is one of the most commonly performed procedures in body-contouring surgery. We present a retrospective study of our 26 years of experience to improve the results and assure the greatest possible safety in lipoabdominoplasty. We include all of our female patients who underwent lipoabdominoplasty performed from July 1996 to June 2022, dividing the patients into two groups: group I underwent circumferential liposuction avoiding abdominal flap liposuction for the first 7 years, and group II underwent circumferential liposuction including abdominal flap liposuction for the subsequent 19 years, pointing out the differences in the processes, results, and complications of both groups. Over a period of 26 years, 973 female patients underwent lipoabdominoplasty: 310 in group I and 663 in group II. Ages were very similar; however, weight, BMI, amount of liposuction material, and weight of the abdominal flap removed were higher in group I. Twenty percent of patients in group I were obese compared to 7% in group II. The average amount of liposuction in group I was 4990 mL compared to 3373 mL in group II and 1120 g of abdominal flap in group I versus 676 g in group II. Minor and major complications were 11.6% and 1.2% in group I versus 9.2% and 0.6% in group II, respectively. In our more than 26 years of performing lipoabdominoplasty, we have maintained most of our initial procedures. These processes have allowed us to perform surgery safely and effectively with a low morbidity rate.

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Section: Discussionmentioning

confidence: 99%

Lipoabdominoplasty: What We Have Implemented and What We Have Modified over 26 Years

Cárdenas-Camarena

Reyes-Herrera

Vargas-Flores

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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“…Regarding alternatives, shifting the patient to a progesterone-only tablet or depo injection four weeks before surgery are common options for quitting the combined oral contraceptive (progesterone poses no increased risk) [ 15 , 18 ]. Thromboprophylaxis, such as subcutaneous heparin, graded elastic stockings, intermittent pneumatic calf compression, and the preservation of calf muscle pump by total intravenous anesthesia without paralysis must be explored to decrease the risk of VTE [ 16 , 21 , 22 ]. It is necessary to think about the process that will be carried out.…”

Section: Discussionmentioning

confidence: 99%

The Preoperative Management of Oral Contraceptive Pills in Aesthetic Plastic Surgery Practice in Saudi Arabia

Aljindan

Allababidi

Mortada

et al. 2022

Cureus

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“… 7 Sometimes, a change in direction is needed. 7 , 36 , 37 , 62 Change in the status quo spurs medical progress, and it starts with our publications.…”

Section: Changing Directionmentioning

confidence: 99%

Peer Review

Swanson

2023

Ann Plast Surg

Self Cite

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Little information is available regarding how to review a plastic surgery manuscript. This vital responsibility ensures that publications meet an acceptable scientific standard. Thoughtful and thorough reviews are essential to protect patients and surgeons from unscientific practices and products. This discussion provides information for the reviewer, gained from the author's experience, including examples of a thorough review, likely to be useful to the editor, and a cursory one that is unhelpful. The first consideration is relevance. Prerequisites for publication include institutional review board approval, disclosure of financial conflicts, and discussion of the regulatory status of devices. Particular attention is needed to check for conflicts of interest, which are endemic in plastic surgery today. In view of the common practice of using computer-generated imaging, reviewers need to be especially vigilant for inauthentic “photoshopped” photographs. Examples of published images that have been digitally altered are provided. If data are available, it may be possible to check the statistical tests. Reviewers need to be aware of the practice of p-hacking. A quick literature search can identify relevant but unreferenced publications. The manuscript needs to be properly organized into sections. Minor points may be made regarding style. The study design and methodology need to be evaluated to be sure that the conclusions are well supported by data. Randomized studies are rarely feasible. Fortunately, well-done prospective observational studies in consecutive patients can be just as useful. Realistic complication rates are expected. Meta-analyses in plastic surgery are often subject to confounding variables. Comments should be available to the authors; confidential comments hidden from authors are discouraged. Like honesty, transparency is the best policy. Manuscripts should be evaluated solely for merit, not the identity of the author or institution. Timeliness of submission of the review is appreciated by authors. Evidence-based medicine is concerned solely with the facts. The 2 basic criteria are a solid scientific basis and reliable evidence of efficacy. Reviewers need to keep an open mind. Studies that challenge the status quo are often the most valuable ones and are needed for the advancement of the specialty.

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A New Approach for Venous Thromboembolism Prevention in Plastic Surgery

Cited by 5 publications

References 32 publications

Lipoabdominoplasty: What We Have Implemented and What We Have Modified over 26 Years

Lipoabdominoplasty: What We Have Implemented and What We Have Modified over 26 Years

The Preoperative Management of Oral Contraceptive Pills in Aesthetic Plastic Surgery Practice in Saudi Arabia

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