- Patients who are taking antihypertensive medication should be well maintained until the time of surgery and reinstated as soon as possible postoperatively.
- Patients should be informed to stop all medications that can cause bleeding, such as aspirin, St. John’s wort, gingko, nonsteroidal anti-inflammatory drugs, and others. Aspirin and aspirin containing compounds are stopped for 2 weeks before surgery and 1 week postoperatively.
- Patients should adhere to the restrictions given them postoperatively. It is good to get up and move, but do so in a way as to not raise your blood pressure. No heavy lifting means that. No speed walking or jogging means that. Squat rather than bending over.
The Effect of Blood Pressure on Hematoma Formation with Perioperative Lovenox in Excisional Body Contouring Surgery; Aesthetic Surgery Journal, Vol 27, No 6, pp 589-593; Jordan P. Farkas, Jeffrey M. Kenkel, Daniel A. Hatef, Gabrielle Davis, Tuan Truong, Rod J. Rohrich, Spencer A. Brown
The Study of Hematomas in 500 Consecutive Face Lifts; Plastic & Reconstructive Surgery. 59(5):694-698, May 1977; Straith, Richard E. M.D.; Raju, D. Raghava M.D.; Hipps, Chauncey J. M.D.
Postoperative Hypertension as an Etiological Factor in Hematoma after Rhytidectomy; Plastic & Reconstructive Surgery, 57(3):314-319, March 1976; Berner, Robert E. M.D.; Morian, William D. M.D.; Noe, Joel M. M.
Reducing the Incidence of Hematoma requiring Surgical Evacuation following Male Rhytidectomy: a 30-year Review of 985 Cases; Plastic & Reconstructive Surgery. 116(7):1973-1985, December 2005; Baker, Daniel C. M.D.; Stefani, William A. M.D.; Chiu, Ernest S. M.D.
Aggressive pharmacologic protocols may be associated with TJR complications: To guide orthopedists in selecting prophylaxes, AAOS has issued new recommendations. By Susan M. Rapp ORTHOPEDICS TODAY 2007; 27:18