Related Experiment Video
Updated: Mar 13, 2026
10:10
A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
Published on: January 15, 2017
17.8K
Practical Guidelines for Venous Thromboembolism Prophylaxis in Free Tissue Transfer
Joseph A Ricci1,2, Kayva Crawford1,2, Olivia A Ho1,2
1Boston, Mass.; and Los Angeles, Calif.
Plastic and Reconstructive Surgery
|October 27, 2016
Summary
Venous thromboembolism (VTE) prophylaxis is recommended for microsurgery patients. Careful planning and appropriate use of chemoprophylaxis can reduce VTE risks without significantly increasing bleeding complications.
Area of Science:
- Microsurgery
- Vascular Surgery
- Thrombosis Research
Background:
- Venous thromboembolism (VTE) is a spectrum of disease from deep vein thrombosis to pulmonary embolism.
- The benefit of VTE prophylaxis in complex microsurgery remains unclear.
- This study evaluates VTE prophylaxis strategies in microsurgical procedures.
Purpose of the Study:
- To evaluate current recommendations for VTE prophylaxis in microsurgery.
- To assess procedure-specific strategies for VTE prophylaxis.
- To determine the utility of VTE prophylaxis in microsurgical procedures.
Main Methods:
- Literature review to identify articles on VTE rates in microsurgery.
- Data summarization by body area (hand, breast, lower extremity, head and neck).
- Establishment of VTE prophylaxis guidelines for microsurgical cases.
Main Results:
- Studies show reduced postoperative VTE with prophylaxis.
- Chemoprophylaxis is underused in plastic surgery due to bleeding concerns.
- Mechanical and chemoprophylaxis should be considered in all microsurgical cases.
Conclusions:
- VTE risks are reducible with preoperative planning and chemoprophylaxis.
- Appropriate prophylaxis does not appear to increase postoperative bleeding.
- Consider VTE prophylaxis in all microsurgery patients, excluding those at high bleeding risk.
More Related Videos
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
445
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
445
01:30Venous Thrombosis IV: Nursing Management
352
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
352
01:30Venous Thrombosis I: Introduction
618
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
618
01:23Peripheral Artery Disease V: Postoperative Nursing Management
506
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
506
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
418
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
418
01:27Pulmonary Embolism III: Nursing Management
601
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
601