Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients.
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.
Duke Scholars
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Related Subject Headings
- Venous Thrombosis
- Urogenital Surgical Procedures
- Risk
- Retrospective Studies
- Pulmonary Embolism
- Obstetrics & Reproductive Medicine
- Middle Aged
- Incidence
- Humans
- Female
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Venous Thrombosis
- Urogenital Surgical Procedures
- Risk
- Retrospective Studies
- Pulmonary Embolism
- Obstetrics & Reproductive Medicine
- Middle Aged
- Incidence
- Humans
- Female