Does the Specialty of the Physician Affect Fatality Rates in Liposuction? A Comparison of Specialty Specific Data

Wp, Coleman; Cw, Hanke; Rg, Glogau

doi:10.1046/j.1524-4725.2000.00084.x

Cited by 35 publications

(24 citation statements)

References 31 publications

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“…2 If this is true, then the risk of liposuction under general anesthesia is greater than with dilute local anesthesia since there were no deaths or injuries reported with liposuction under dilute local anesthesia. First, it is evi-dent that there may be a problem with liposuction performed under general anesthesia; 50% of the surgical deaths and 32% of the injuries requiring an overnight hospital stay were associated with liposuction under general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Office Surgical Incidents: 19 Months of Florida Data

Coldiron¹

2002

Dermatol Surg

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Liposuction under general anesthesia deserves closer scrutiny. Office accreditation is not associated with fewer patient injuries and deaths. Restrictions on tumescent liposuction, conscious sedation and intramuscular sedation and analgesia would not yield any saved lives or fewer injuries since these modes of anesthesia resulted in no injuries or deaths. Board certification and hospital privilege requirements for office practice would have very little effect since the vast majority of reporting physicians already had these credentials. These data do not show an emergent hazard to patients from office surgery This data strongly contradicts the lay media portrayal of the dangers of office procedures. Mandatory reporting of office incidents should be strongly supported, and this data should be available for analysis after protecting patient confidentiality.

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Section: Discussionmentioning

confidence: 99%

Office Surgical Incidents: 19 Months of Florida Data

Coldiron¹

2002

Dermatol Surg

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“…A NUMBER of studies have already been performed to address the safety of liposuction, one of the most popular cosmetic procedures currently performed by dermatologic surgeons and plastic surgeons 1–7 . In 2000, a survey of 1200 plastic surgeons reported a mortality rate of 19.1 per 100,000, or 1 in 5224 liposuction procedures (95 deaths in 496,245 procedures) 8 .…”

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confidence: 99%

The Safety of Liposuction: Results of a National Survey

Housman¹,

et al. 2002

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“…Liposuction under general anesthesia accounted for 22% of total procedure-related deaths and 14% of total procedure-related complications. Because liposuction remains one of the most commonly performed cosmetic surgical procedures in the United States, 10,11 and a recent report estimates that one-third of all liposuction in the United States is performed using tumescent anesthesia, 14 we contend that continued use of general anesthesia for liposuction must be questioned and investigated rigorously. Review of the Florida data shows that deaths and adverse events associated with liposuction under general anesthesia have trended lower.…”

Section: Discussionmentioning

confidence: 99%

Determining the Safety of Office-Based Surgery: What 10 Years of Florida Data and 6 Years of Alabama Data Reveal

Starling¹,

Thosani²,

Coldiron³

2012

Dermatologic Surgery

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Continued analysis reveals that medically necessary office surgery does not represent an emergent hazard to patients. The data obtained from 10 and 6 years of adverse event reporting in Florida and Alabama, respectively, are comparable and consistent. Medically necessary surgical procedures performed in the office setting by dermatologists have an exceedingly low complication rate, and complications that arose were largely unexpected, isolated, and possibly unpreventable. Cosmetic procedures performed in offices by dermatologists under local and dilute local anesthesia yielded no reported complications. Complications from cosmetic procedures accounted for nearly half of all reported incidents in Florida and Alabama, and in both states, plastic surgeons were most represented in adverse event reports. Liposuction performed under general anesthesia requires further investigation because deaths from this procedure continue to occur despite the ability to use dilute local anesthesia for this procedure. Requiring physician board certification and physician hospital privileges does not seem to increase safety of patients undergoing surgical procedures in the office setting. Mandatory reporting of adverse events in the office setting should continue to be championed. Reporting of delayed deaths after hospital outpatient and ambulatory surgery center procedures should be implemented. All data should be made available for scientific analysis after protecting patient confidentiality.

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Does the Specialty of the Physician Affect Fatality Rates in Liposuction? A Comparison of Specialty Specific Data

Cited by 35 publications

References 31 publications

Office Surgical Incidents: 19 Months of Florida Data

Office Surgical Incidents: 19 Months of Florida Data

The Safety of Liposuction: Results of a National Survey

Determining the Safety of Office-Based Surgery: What 10 Years of Florida Data and 6 Years of Alabama Data Reveal

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