Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients - 19/08/11
Résumé |
Objective |
We sought to determine the incidence of symptomatic deep venous thrombosis and pulmonary embolism, collectively referred to as venous thromboembolic events (VTE), in patients undergoing urogynecologic surgery to guide development of a VTE prophylaxis policy for this patient population.
Study Design |
We conducted a retrospective analysis of VTE incidence among women undergoing urogynecologic surgery over a 3-year period. All patients wore sequential compression devices intraoperatively through hospital discharge.
Results |
Forty of 1104 patients (3.6%) undergoing urogynecologic surgery were evaluated with chest computed tomography, lower extremity ultrasound, or both for suspicion of VTE postoperatively. The overall rate of venous thromboembolism in this population was 0.3% (95% confidence interval, 0.1–0.8).
Conclusion |
Most women undergoing incontinence and reconstructive pelvic surgery are at a low risk for VTE. Sequential compression devices appear to provide adequate VTE prophylaxis in this patient population.
Le texte complet de cet article est disponible en PDF.Key words : deep venous thrombosis, incontinence, pelvic organ prolapse, pulmonary embolism, urogynecology, venous thromboembolism
Plan
| Cite this article as: Solomon ER, Frick AC, Paraiso MFR, et al. Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients. Am J Obstet Gynecol 2010;203:510.e1-4. |
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| Reprints not available from the authors. |
Vol 203 - N° 5
P. 510.e1-510.e4 - novembre 2010 Retour au numéro
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