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Am J Obstet Gynecol. 2010 Nov;203(5):510.e1-4. doi: 10.1016/j.ajog.2010.07.021. Epub 2010 Aug 30.

Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients.

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1
Center for Urogynecology and Reconstructive Pelvic Surgery, Obstetrics, Gynecology, and Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USA.

Abstract

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.

PMID:
20800214
DOI:
10.1016/j.ajog.2010.07.021
[Indexed for MEDLINE]
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