Related Experiment Video
Updated: Nov 26, 2025
09:04
Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
9.0K
Venous thromboembolic events in hand surgery
Aziz Haque1, Mohammed S Patel1, Bobby Siddiqui1
1Trauma and Orthopaedic Department, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester, UK.
Journal of Plastic Surgery and Hand Surgery
|December 14, 2020
Summary
Venous thromboembolism (VTE) events are rare after hand surgery, with an incidence of 0.006%. Prophylaxis is likely unnecessary, saving significant costs associated with preventative treatments.
Area of Science:
- Orthopedics
- Vascular Surgery
- Public Health
Background:
- Venous thromboembolism (VTE) risks are well-documented after hip and knee replacements.
- The incidence and necessity of VTE prophylaxis following hand surgery remain less understood.
Purpose of the Study:
- To determine the incidence of VTE events in patients undergoing elective and trauma hand surgery.
- To conduct a cost-effectiveness analysis of VTE thromboprophylaxis in hand surgery.
Main Methods:
- Analysis of UK National Hospital Episode Statistics (HES) data from 2010-2012.
- Inclusion of local VTE rates and cost assessment based on British Society for Surgery of the Hand (BSSH) guidelines.
Main Results:
- A total of 334,211 hand surgical procedures were analyzed.
- 13 deep vein thrombosis (DVT) and 27 pulmonary embolism (PE) events were recorded, primarily in patients with comorbidities.
- The annual incidence of VTE was found to be at most 0.006%.
Conclusions:
- VTE is a rare complication of isolated elective or trauma hand surgery.
- Routine VTE thromboprophylaxis may not be necessary, presenting potential cost savings compared to treatment costs.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
124
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...
124
01:23Peripheral Artery Disease V: Postoperative Nursing Management
146
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...
146
01:30Venous Thrombosis IV: Nursing Management
103
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,...
103
01:30Venous Thrombosis I: Introduction
129
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...
129
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
132
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...
132
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
81
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
81