Thromboembolic prophylaxis in plastic surgery a 12-year follow up in the UK

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
F J ConroyN B Hart

Abstract

Potentially fatal thromboembolic events prevail post-operatively despite the widespread availability of proven methods of prophylaxis. In 1992 Dujon et al published an article which reviewed thromboembolic prophylaxis methods of Consultant Plastic Surgeons in the UK and Ireland. Our follow up study surveyed all current Consultant B.A.P.S members using a modified postal questionnaire to assess practice nationwide. Our conclusions were drawn from comparisons made between the two populations some twelve years apart. Our results show a dramatic change from the previous findings. Since 1992 86% of respondents have developed a set prophylaxis protocol (compared to 19%). The use of low molecular weight heparin has drastically increased by 24% to 76%, the use of flow-tron boots (or similar) has increased by 22% to 68%, the use of TED stockings has increased by 12% to 83%, the use of multi-modality prophylaxis has increased by 27% to 79% Our results demonstrate a definite shift towards multi-modal thromboembolic prophylaxis, possibly due to increased awareness of available technologies and subsequent reduction in costs.

References

Aug 1, 1992·British Journal of Plastic Surgery·D G DujonN B Hart
Jan 25, 1995·JAMA : the Journal of the American Medical Association·J ChellP W Howard
Nov 28, 1997·The Journal of Laryngology and Otology·K W Ah-SeeD W Sim
Nov 30, 1999·Plastic and Reconstructive Surgery·N B McDevitt
Feb 5, 2005·Plastic and Reconstructive Surgery·Daniel MostMichele A Shermak

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Citations

Jul 28, 2009·Irish Journal of Medical Science·J C Y OngJ McCann
Mar 7, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Krystyna MiszkiewiczAndreas Nikolis
Dec 4, 2008·Plastic and Reconstructive Surgery·Mitchel SeruyaSteven P Davison
Dec 17, 2008·Plastic and Reconstructive Surgery·Mitchel Seruya, Stephen B Baker

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