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Risk of Thromboembolism Following Body-Contouring Surgery After Massive Weight Loss
M Griffin1, M A Akhavani1, N Muirhead1
1Plastic and Reconstructive Department, St Georges Hospital NHS Trust, Tooting, London, England.
Eplasty
|July 15, 2015
Summary
Postbariatric patients undergoing body-contouring surgery have a low risk of venous thromboembolism (VTE). A prophylaxis protocol including low-molecular-weight heparin and compression stockings proved effective in preventing VTE.
Area of Science:
- Plastic Surgery
- Thrombosis Research
- Bariatric Surgery Outcomes
Background:
- Postbariatric patients face elevated risks of surgical complications.
- Massive weight loss patients undergoing body contouring are a specific population with potential risks.
- Venous thromboembolism (VTE) is a significant concern in this patient group.
Purpose of the Study:
- To determine the incidence of VTE after body-contouring surgery in post-massive weight loss patients.
- To evaluate the effectiveness of a VTE prophylaxis protocol in this population.
Main Methods:
- Retrospective analysis of 135 body-contouring procedures in 53 post-massive weight loss patients.
- Data collected included demographics, comorbidities, VTE risk factors, BMI, and surgical procedures.
- All patients received postoperative VTE prophylaxis: low-molecular-weight heparin and graduated compression stockings.
Main Results:
- A total of 135 procedures were analyzed (abdominoplasty, brachioplasty, thigh lift, etc.).
- One patient (0.74%) experienced deep venous thrombosis and subsequent nonfatal pulmonary embolism.
- The VTE prophylaxis regimen was administered consistently.
Conclusions:
- The prevalence of clinically apparent VTE was low in this cohort.
- The implemented VTE prophylaxis algorithm appears successful in mitigating risk for postbariatric body-contouring patients.
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