Incidence and risk factors for venous thromboembolic events after different routes of pelvic organ prolapse repairs
American Journal of Obstetrics and Gynecology May 16, 2020
Chong W, et al. - Researchers examined the incidence and risk factors for venous thromboembolic events (VTE) within 30-days after different routes of pelvic organ prolapse (POP) surgery in a large, cohort population using the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP). Current Procedural Terminology (CPT) codes were used to identify POP repairs with and without concurrent hysterectomy performed during 2011-2017 in the ACS-NSQIP database for conducting this retrospective-cohort study. Among 63,108 analyzed surgeries: 43,279 (68.6%) were performed vaginally; 16,518 (26.2%) laparoscopically; and, 3,311 (5.2%) abdominally. A concurrent hysterectomy was performed in 34,698 (55.0%). VTE occurred within 30-days after surgery among 133 individuals indicating a very low overall incidence of VTE after POP repairs confirming the finding in prior smaller cohort studies. Abdominal route was associated with the highest VTE risk, and VTE occurred within 10 days after surgery in greater than 60%. Hence, they emphasize focusing on risk reducing strategies in the immediate postoperative period, with greater emphasis on cases undergoing abdominal surgery. .
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