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Medline ® Abstract for Reference 10

of 'Surgical management of stress urinary incontinence in women: Bladder neck fascial sling procedures'

Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients.
Solomon ER, Frick AC, Paraiso MF, Barber MD
Am J Obstet Gynecol. 2010 Nov;203(5):510.e1-4. Epub 2010 Aug 30.
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.