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The ASPS venous thromboembolism task force recommends stratifying each patient's risk with the 2005 Caprini score and adjusting prophylaxis to the result.
Venous thromboembolism (leg clots and pulmonary embolism) is one of the most preventable serious complications of plastic surgery, especially in long procedures such as abdominoplasty or combined surgeries.
The American Society of Plastic Surgeons' Venous Thromboembolism Task Force Report (approved in 2011) is based on the 2005 Caprini score, validated in plastic surgery patients, and issues prophylaxis recommendations (compression stockings, pneumatic devices, anticoagulants) according to each patient's score.
Later studies confirm the score's usefulness in guiding prophylaxis after abdominoplasty.
Before surgery you should be asked about prior clots, contraceptives, smoking, mobility and expected operating time. If nobody calculates your risk, the team is not following the guideline.
This content summarizes scientific publications and professional-society guidelines; it does not replace your surgeon's or anesthesiologist's evaluation. Every item links its original source.