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Revista Brasileira de Cirurgia Plástica

Print version ISSN 1983-5175

Abstract

PAIVA, Rita Azevedo de et al. Venous thromboembolism in plastic surgery: prevention protocol at Ivo Pitanguy Clinic. Rev. Bras. Cir. Plást. (Impr.) [online]. 2010, vol.25, n.4, pp.583-588. ISSN 1983-5175.  http://dx.doi.org/10.1590/S1983-51752010000400003.

BACKGROUND: The deep vein thrombosis (DVT) and its most dangerous outcome, the pulmonary embolism (PE), are complications of high incidence in hospitalized patients and in those submitted to surgery. OBJECTIVE: This study presents the guideline to prevention of thromboembolism at Ivo Pitanguy Clinic and its incidence before and after the introduction of this protocol, in a period of five years. We also relate the incidence of hematoma before and after the beginning of the protocol. METHODS: The study consists of the revision of the medical records of all patients operated between July 2004 and May 2009. We compared the incidence of thromboembolic events before and after the beginning of the protocol as well as the incidence of hematomas that were submitted to revision at the surgery room. RESULTS: Analyzing 1700 medical records, since the introduction of the guideline of prevention of VTE, there is no case of VTE in 711 operated patients. The incidence of reoperated hematomas at the surgery room was reduced, maybe because there was a more rigorous control of the blood pression after the introduction of the guideline. CONCLUSION: The guideline has shown itself practical and simple use. There were reduction in cases of VTE and hematomas after its introduction.

Keywords : Venous thromboembolism; Pulmonary embolism; Plastic surgery.

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