Venous thromboembolism (VTE) occurs in ~0.2% of all gynecologic surgeries, with a decreased risk in minimally invasive vs opening surgical approaches, a new study found. Researchers conducted a retrospective cohort study of all patients who underwent gynecologic surgery from May 2006 to June 2015 at 2 tertiary care academic hospitals in Massachusetts. They evaluated the incidence of postoperative VTE after gynecologic surgery by mode of incision. They found:
- 43,751 surgical encounters among 37,485 individual patients were noted during the study.
- Overall incidence of VTE was 0.2% for all gynecologic surgeries, 0.7% for hysterectomy, and 0.2% for myomectomy.
- Patients who underwent minimally invasive gynecologic surgery were less likely to develop VTE when compared with patients undergoing laparotomy.
Jorgensen EM, Li A, Modest AM, et al. Incidence of venous thromboembolism after different modes of gynecologic surgery. [Published online ahead of print October 5, 2018]. Obstet Gynecol. doi:10.1097/AOG.0000000000002918.