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Commentary on: Importance of Postoperative Hydration and Lower Extremity Elevation in Preventing Deep Venous Thrombosis in Full Abdominoplasty: A Report on 450 Consecutive Cases Over a 37-Year Period.

Keiter et al analyzed a series of 450 consecutive full abdominoplasties performed by a single surgeon over a period of more than 37 years in a retrospective study.1 The authors must be congratulated for their ability to follow a standard protocol concerning prevention, treatment, and follow-up in a retrospective study looking back over such a long period. It seems especially remarkable that every single patient had a complete follow-up. This is certainly the fruit of a particular effort of the main author to convince his patients of the necessity of postoperative evaluation at 1, 2, and 4 weeks after surgery. It also shows that it is possible to do large studies in a nonacademic community surgery center, and this is to be encouraged.

The article essentially states that it should be possible to avoid chemoprophylaxis of deep venous thrombosis (DVT) in abdominoplasties by adequate alternative measures, namely postoperative hydration and lower …