ArticleAesthetic plastic surgery2025
Abdominoplasty Under Total Intravenous Anesthesia Significantly Decreases Deep Venous Thrombosis and Pulmonary Embolism Risk.
Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Multimodal Approach for Lower Leg Liposculpture: A Case Series and Lessons Learned.Aesthetic surgery journal. Open forum · 2026Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVenous thromboembolism (VTE) is the most feared complications of abdominoplasty, and multiple studies in the plastic surgery literature have sought to prevent these complications. General inhalational anesthesia can increase the risk of VTE via a variety of mechanisms. This study evaluates whether performing abdominoplasties under total intravenous anesthesia (TIVA) instead of general inhalational anesthesia can reduce the risk of VTE.
methodsIn this retrospective chart review, a single surgeon's abdominoplasty cases were evaluated for VTE incidence. Prior to 3/3/2004, all abdominoplasty cases were performed under general inhalational anesthesia. After this point, all abdominoplasty cases were performed in the outpatient setting at an American Association for Accreditation of Ambulatory Surgery Facilities certified facility under TIVA. TIVA was performed by an anesthesiologist with propofol, midazolam, fentanyl, and ketamine. Local anesthesia with bupivacaine and tumescent solution with lidocaine was administered by the surgeon. None of the patients in either group received chemoprophylaxis intraoperatively, perioperatively, or postoperatively.
resultsA total of 156 patients underwent abdominoplasty under general anesthesia from 1993 to 2004, 3 of which developed VTE; 280 patients underwent abdominoplasty under TIVA from 2004 to 2021, 0 of which developed VTE. Fischer exact test reveals the difference as statistically significant (p<0.05). No TIVA patients required emergent conversion to general anesthesia.
conclusionPerforming abdominoplasty under TIVA greatly reduces the risk of VTE, without the need for chemoprophylaxis and risks associated with it. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.