Body Contouring in Massive Weight Loss Patients Receiving Venous Thromboembolism Chemoprophylaxis: A Systematic Review.
Journal
Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
26
03
2021
accepted:
08
06
2021
entrez:
20
8
2021
pubmed:
21
8
2021
medline:
21
8
2021
Statut:
epublish
Résumé
Venous thromboembolism (VTE) events are the leading cause of morbidity and mortality in plastic surgery. Currently, there is no consensus regarding the use of VTE chemoprophylaxis in the context of the risk for bleeding following specific body contouring procedures. Furthermore, there is increasing popularity of these procedures in the massive weight loss (MWL) patient population, who may be at higher risk due to multiple risk factors. The purpose of this study was to stratify the incidence of VTE and bleeding events among individual, specific body contouring procedures in MWL patients receiving chemoprophylaxis. A systematic review was designed according to PRISMA guidelines. We screened all articles published between 1988 and 2018 reporting chemoprophylaxis status, VTE, and bleeding events in MWL patients undergoing body contouring procedures. Thirty-one publications were reviewed. The VTE incidence for any procedure was too low to reach significance. Overall, hematoma incidence in single-procedure patients (8.7%) was significantly higher than concomitant-procedure patients (4.2%, Overall, MWL patients undergoing single body contouring procedures (among abdominoplasty, belt lipectomy, thighplasty) were found to have a higher risk of hematoma compared with those undergoing combined contouring procedures. However, stratified hematoma data revealed no differences in overall risk between single- and multiple-procedure operations.
Identifiants
pubmed: 34414056
doi: 10.1097/GOX.0000000000003746
pmc: PMC8367044
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e3746Informations de copyright
Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
Références
Ann Plast Surg. 2012 Oct;69(4):412-4
pubmed: 22964679
J Plast Reconstr Aesthet Surg. 2009 May;62(5):580-8
pubmed: 19264567
Ann Plast Surg. 2011 Mar;66(3):228-32
pubmed: 21200311
Plast Reconstr Surg. 2011 Mar;127(3):1352-1357
pubmed: 21364438
Aesthet Surg J. 2016 Jul;36(7):792-803
pubmed: 27217588
Adv Ther. 2010 Feb;27(2):81-93
pubmed: 20390389
Plast Reconstr Surg. 2016 Feb;137(2):709-730
pubmed: 26818311
Ann Plast Surg. 2011 Mar;66(3):306-9
pubmed: 21200310
Plast Reconstr Surg. 2014 Mar;133(3):263e-273e
pubmed: 24572870
Plast Reconstr Surg. 2008 Jul;122(1):269-279
pubmed: 18594417
Plast Reconstr Surg. 2020 Aug;146(2):238-245
pubmed: 32740567
J Neurosurg Anesthesiol. 2004 Apr;16(2):151-5
pubmed: 15021285
Aesthet Surg J. 2017 Dec 13;38(1):60-70
pubmed: 29040346
Plast Reconstr Surg. 1983 Jan;71(1):56-65
pubmed: 6217478
Ann Plast Surg. 2010 Jun;64(6):732-7
pubmed: 20489401
Aesthetic Plast Surg. 1985;9(3):233-5
pubmed: 4072818
Aesthet Surg J. 2017 Oct 16;37(10):1175-1185
pubmed: 28398469
Plast Reconstr Surg. 2010 Feb;125(2):691-698
pubmed: 20124854
Plast Reconstr Surg. 2012 Aug;130(2):325e-330e
pubmed: 22495205
Plast Reconstr Surg. 2008 Dec;122(6):1701-1708
pubmed: 19050522
Aesthet Surg J. 2004 Jul-Aug;24(4):314-8
pubmed: 19336172
Aesthet Surg J. 2020 Aug 14;40(9):989-995
pubmed: 31639195
J Surg Res. 2018 Jan;221:24-29
pubmed: 29229135
Plast Reconstr Surg. 2006 Feb;117(2):414-30
pubmed: 16462321
Plast Reconstr Surg. 2007 Apr 15;119(5):1590-1596
pubmed: 17415254
Plast Reconstr Surg. 1989 Jun;83(6):997-1004
pubmed: 2524854
Plast Reconstr Surg. 2016 Jun;137(6):1748-1757
pubmed: 27219231
Plast Reconstr Surg. 2018 Jul;142(1):90-98
pubmed: 29649062
Semin Hematol. 2001 Apr;38(2 Suppl 5):12-9
pubmed: 11449339
Ann Plast Surg. 2015 Jun;74(6):699-702
pubmed: 24727447