American Journal of Obstetrics & Gynecology
Volume 203, Issue 5 , Pages 510.e1-510.e4, November 2010

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

Presented orally at the 36th Annual Scientific Meeting of the Society of Gynecologic Surgeons, Tucson, AZ, April 12-14, 2010.

Received 12 January 2010; received in revised form 16 May 2010; accepted 20 July 2010. published online 30 August 2010.

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.

Key words: deep venous thrombosis, incontinence, pelvic organ prolapse, pulmonary embolism, urogynecology, venous thromboembolism

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 Cite this article as: Solomon ER, Frick AC, Paraiso MFR, et al. Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients. Am J Obstet Gynecol 2010;203:510.e1-4.

 Reprints not available from the authors.

PII: S0002-9378(10)00905-1

doi:10.1016/j.ajog.2010.07.021

American Journal of Obstetrics & Gynecology
Volume 203, Issue 5 , Pages 510.e1-510.e4, November 2010

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