Venous Thromboembolism in Plastic Surgery Patients | Journal CME Article-Journal CME Article: Venous Thromboembolism in Plastic Surgery Patients (Video 1 of 1)

Journal CME Article: Venous Thromboembolism in Plastic Surgery Patients (Video 1 of 1)

Video Transcription

Video Summary

A 43-year-old woman sought breast and abdominal cosmetic surgery after 100 lb weight loss (BMI 23.6). Pre-op screening noted estradiol hormone therapy and family history of clots; her mother had a DVT during pancreatic cancer. Her baseline Caprini VTE risk score was 7, so risks were modified by stopping estradiol and staging procedures, performing only a 360 tummy tuck with liposuction first. Surgery lasted 4h40 under general anesthesia with sequential compression devices. Compression garments were checked to avoid tourniquet effects, and early ambulation and hydration monitoring were used. She received one inpatient enoxaparin 40 mg dose. Outcome: no bleeding or clots and good results.

Keywords

Caprini VTE risk score

abdominoplasty (360 tummy tuck) with liposuction

estradiol hormone therapy cessation

enoxaparin prophylaxis (40 mg)

venous thromboembolism prevention in cosmetic surgery