Chemoprophylaxis and Management of Venous Thromboembolism in Microvascular Surgery.

IF 2.3 3区医学 Q2 SURGERY Seminars in Plastic Surgery Pub Date : 2023-02-09 eCollection Date: 2023-02-01 DOI:10.1055/s-0042-1760381

Fatemeh Mirzamohammadi, Ogonna N Nnamani Silva, Rebecca K Leaf, Kyle R Eberlin, Ian L Valerio

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Abstract

This review aims to highlight the common pharmacological and nonpharmacological interventions utilized for thromboprophylaxis as well as flap salvage in microsurgery. A literature review was conducted in PubMed/National Center for Biotechnology Information, Scopus, Web of Science, and MEDLINE databases. Articles with a focus on thromboprophylaxis in microsurgical procedures spanning head and neck surgery, breast and extremity microvascular reconstruction, deep venous thrombosis/pulmonary embolus in microvascular surgery, and flap thrombosis and salvage were included in this review. The majority of available evidence supports mechanical venous thromboembolism (VTE) prophylaxis in all patients undergoing microsurgery given the presence of multiple risk factors for VTE within this particular patient population. Based on the literature review, addition of VTE chemoprophylactic agents is beneficial and an algorithmic approach to thromboprophylaxis in microsurgery patients and management of patients with thrombosis based on literature review and senior authors' experience is recommended and outlined.

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微血管手术中静脉血栓栓塞的化学预防和处理。

本综述旨在重点介绍显微外科手术中用于血栓预防和皮瓣挽救的常用药物和非药物干预措施。我们在 PubMed/美国国家生物技术信息中心、Scopus、Web of Science 和 MEDLINE 数据库中进行了文献综述。本综述的重点是显微外科手术中的血栓预防，包括头颈部手术、乳房和四肢微血管重建、微血管手术中的深静脉血栓/肺栓塞以及皮瓣血栓形成和挽救。鉴于微创手术患者中存在多种 VTE 风险因素，大多数现有证据支持对所有接受微创手术的患者进行机械性静脉血栓栓塞（VTE）预防。根据文献综述，添加 VTE 化学预防药物是有益的，根据文献综述和资深作者的经验，推荐并概述了显微外科患者血栓预防和血栓形成患者管理的算法方法。

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来源期刊

Seminars in Plastic Surgery SURGERY-

CiteScore

4.10

自引率

5.00%

发文量

期刊介绍： Seminars in Plastic Surgery is a quarterly review journal that publishes topic-specific issues covering all areas of aesthetic and reconstructive plastic surgery. The journal''s scope includes issues devoted to breast reconstruction, rhinoplasty, lipogenesis and lipoplasty, craniomaxillofacial trauma, and all other major plastic surgery procedures. The journal also covers such emerging areas as free tissue transfer, lasers, endoscopic facial plastic procedures, as well as all the related technologies associated with these techniques.

期刊最新文献

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