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Thromboembolic prophylaxis in plastic surgery: an appraisal
D G Dujon1, L A Chatzis, N B Hart
1Department of Plastic Surgery, Kingston General Hospital, Hull.
British Journal of Plastic Surgery
|August 1, 1992
Summary
Most UK plastic surgeons use deep vein thrombosis (DVT) prophylaxis, but methods vary. Standardized protocols are needed to prevent thromboembolism in high-risk plastic surgery patients.
Area of Science:
- Plastic Surgery
- Vascular Surgery
- Thromboembolism Prevention
Background:
- Deep vein thrombosis (DVT) and pulmonary embolism (PE) are significant risks in plastic surgery.
- Current practices for thromboembolic prophylaxis in plastic surgery are not standardized.
Purpose of the Study:
- To survey current practices regarding DVT prophylaxis among UK consultant plastic surgeons.
- To identify the need for standardized protocols in preventing thromboembolism.
Main Methods:
- A questionnaire survey was distributed to consultant plastic surgeons in the UK.
- 54 responses were received, representing a 44% response rate.
Main Results:
- 94% of respondents use some form of DVT prophylaxis for at-risk patients.
- Only 5.5% of surgeons never use DVT prophylaxis.
- Prophylactic methods employed were diverse, with only 10 respondents from units with fixed policies.
Conclusions:
- There is a high rate of DVT prophylaxis use among UK plastic surgeons.
- Significant diversity exists in prophylaxis methods, highlighting a need for standardization.
- A controlled trial is recommended to establish evidence for thromboembolic prophylaxis, and units should develop fixed protocols.