I am concerned that my plastic surgeon isn't going to prescribe Lovenox injections after tummy tuck surgery. I did take injections after weight loss surgery but not any of the other 4 I had. Should I be concerned?
June 12, 2015
Answer: Lovenox for tummy tuck patient? Risk for VTE (venous thromboembolic event) or DVT (deep venous thrombosis) leading to PE (pulmonary embolism) depends on many factors, and use of Lovenox itself can cause an increased risk of bleeding, potentially requiring re-operation.In our accredited office surgical facility we routinely use active compression booties on every patient undergoing anesthesia for any procedure, not just long operations. We rarely use Lovenox as our patients have not required them based on our assessments of each one individually, so you too may be in this majority. However, if you have other known risk factors (smoking, oral contraceptives, and certain genetic syndromes that are more common than you might think), this may be a very reasonable consideration.For additional information about your risks that you can discuss with your surgeon (rest assured s/he is no less interested in you having a blood clot than you are), click on the web reference link below. Best wishes! Dr. Tholen
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June 12, 2015
Answer: Lovenox for tummy tuck patient? Risk for VTE (venous thromboembolic event) or DVT (deep venous thrombosis) leading to PE (pulmonary embolism) depends on many factors, and use of Lovenox itself can cause an increased risk of bleeding, potentially requiring re-operation.In our accredited office surgical facility we routinely use active compression booties on every patient undergoing anesthesia for any procedure, not just long operations. We rarely use Lovenox as our patients have not required them based on our assessments of each one individually, so you too may be in this majority. However, if you have other known risk factors (smoking, oral contraceptives, and certain genetic syndromes that are more common than you might think), this may be a very reasonable consideration.For additional information about your risks that you can discuss with your surgeon (rest assured s/he is no less interested in you having a blood clot than you are), click on the web reference link below. Best wishes! Dr. Tholen
Helpful
June 12, 2015
Answer: Lovenox injections after surgery? The current recommendations are to make a risk assessment using the Caprini Risk Assessment Score. Most tummy tuck patients do NOT need Lovenox, but if you are high risk, then it would be appropriate. Discuss this with your plastic surgeon. See link below for more information.
Helpful
June 12, 2015
Answer: Lovenox injections after surgery? The current recommendations are to make a risk assessment using the Caprini Risk Assessment Score. Most tummy tuck patients do NOT need Lovenox, but if you are high risk, then it would be appropriate. Discuss this with your plastic surgeon. See link below for more information.
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