Maximizing Chemoprophylaxis Against Venous Thromboembolism in Abdominoplasty Patients With the Use of Preoperative Heparin Administration

Abstract

The use of preoperative chemoprophylaxis in patients undergoing abdominoplasty can be done without an increase in bleeding complications or overall complication rate. Furthermore, enoxaparin can also be used preoperatively and continued for 2 more days during the period of time of maximum immobility with easy administration for outpatients via use of a prescription home use kit.

Benefits and Risks of Prophylaxis for Deep Venous Thrombosis and Pulmonary Embolus in Plastic Surgery

“…The remaining 19 studies were retrospective cohort studies. [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] Study characteristics are summarized in Table 2.…”

Venous Thromboembolism in Body Contouring

“…Potentially more varied than the opinions over who is most at risk of venous thromboembolism are those relating to how and when to administer prophylaxis. 16,[23][24][25] The literature disagrees about the risks of bleeding associated with venous thromboembolism chemoprophylaxis. Hatef et al found an increased rate of hematoma following prophylaxis with enoxaparin in body contouring patients.…”

Abdominoplasty Combined with the Anterior Component Separation Technique for Reconstruction of Midline Large Ventral Hernias: Functional and Aesthetic Outcome Clinical Study

“…Patients were instructed to sleep in semi sitting position from 4-6 weeks post operatively and not to walk erect neither stand up straight during the 1 st week post-operatively. No anti-coagulants were pre-scribed and early ambulation was advised post-op to minimize risk of VTE [30]. Oral antibiotics and analgesics were continued on for 1 week postoperative.…”