Clinical PapersDeep Venous Thrombosis Prophylaxis in Body Contouring: 105 Consecutive PatientsReish, Richard G. MD; Damjanovic, Branimir MD; Colwell, Amy S. MD, FACSAuthor Information From the Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Received January 6, 2012, and accepted for publication, after revision, January 9, 2012. Presented at the 28th Annual Meeting of the Northeastern Society of Plastic Surgeons, Amelia Island, FL, October 20–23, 2011. Conflicts of interest and sources of funding: none declared. Reprints: Amy S. Colwell, MD, FACS, Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA. E-mail: [email protected]. Annals of Plastic Surgery: October 2012 - Volume 69 - Issue 4 - p 412-414 doi: 10.1097/SAP.0b013e31824a45e0 Buy Metrics Abstract Body contouring has a higher rate of thromboembolism than traditional plastic surgery procedures. Although risk stratification protocols exist, few offer specific therapeutic guidelines for deep venous thrombosis prevention. This single surgeon series classifies 105 consecutive patients into low, moderate, high, and highest risk groups. The respective thromboembolism prevention treatment included pneumatic compression devices alone, postoperative low-dose unfractionated heparin (LDUH), preoperative and 2 doses of postoperative LDUH, and preoperative and postoperative LDUH/low-dose molecular weight heparin for 7 days. Complications included 1 reoperation for bleeding. There were no clinically detected deep venous thromboses. In conclusion, this treatment algorithm for thromboembolism prevention results in a low rate of bleeding and thrombosis. Further studies are warranted to determine optimal timing and duration of chemoprophylaxis in plastic surgery patients. © 2012 Lippincott Williams & Wilkins, Inc.