Hematoma Risk Should Not Preclude the Use of Venous Thromboembolism Prophylaxis
I am appreciative of the pertinent comments made by Drs. Pannucci and Wilkins regarding the role of prophylactic anticoagulant therapy in aesthetic surgery. This provides me an opportunity to clarify my recommendations regarding the use of Lovenox (Sanofi Aventis, Bridgewater, NJ) in major combination body contouring cases. To be sure, I concur with the statement that if “a patient is truly within the highest-risk categories, we urge the surgeon to accept the minimal hematoma risk associated with providing potentially life-saving pharmacologic venous thromboembolic event [VTE] prophylaxis.” With a VTE event, the potential for death or even adverse long-term sequelae makes preventing this complication a higher priority than a hematoma. Nevertheless, the development of a major hematoma o… Source: MedWorm: Liposuction
