Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients.

Conference Paper

OBJECTIVE: We sought to determine the incidence of symptomatic deep venous thrombosis and pulmonary embolism, collectively referred to as venous thromboembolic events (VTE), in patients undergoing urogynecologic surgery to guide development of a VTE prophylaxis policy for this patient population. STUDY DESIGN: We conducted a retrospective analysis of VTE incidence among women undergoing urogynecologic surgery over a 3-year period. All patients wore sequential compression devices intraoperatively through hospital discharge. RESULTS: Forty of 1104 patients (3.6%) undergoing urogynecologic surgery were evaluated with chest computed tomography, lower extremity ultrasound, or both for suspicion of VTE postoperatively. The overall rate of venous thromboembolism in this population was 0.3% (95% confidence interval, 0.1-0.8). CONCLUSION: Most women undergoing incontinence and reconstructive pelvic surgery are at a low risk for VTE. Sequential compression devices appear to provide adequate VTE prophylaxis in this patient population.

Full Text

Duke Authors

Cited Authors

  • Solomon, ER; Frick, AC; Paraiso, MFR; Barber, MD

Published Date

  • November 2010

Published In

Volume / Issue

  • 203 / 5

Start / End Page

  • 510.e1 - 510.e4

PubMed ID

  • 20800214

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2010.07.021

Conference Location

  • United States