“…According to the review of Williams et al, venous thromboembolism is among the most common complications in inpatient healthcare settings [ 43 ]. Our modified technique was carried out in ambulatory settings without thromboprophylaxis prescribed, because according to the Official Journal of International Union of Angiology [ 44 ] and American College of Chest Physicians Evidence-Based Clinical Practice Guideline [ 45 ], the use of specific thromboprophylaxis is not recommended for low-risk general surgery patients who are undergoing minor procedures and have no additional thromboembolic risk factors. However, the use of piezosurgical instruments instead of rotational instruments increases the time of the surgery, where this prolonged time can manifest in a higher risk of extensive bleeding, especially in patients with congenital or acquired bleeding disorders [ 46 , 47 ].…”