Long-term benefit of liposuction in patients with lipoedema: a follow-up study after an average of 4 and 8 years

Baumgartner, Axel; Hueppe, Michael; Schmeller, W.

doi:10.1111/bjd.14289

Cited by 75 publications

(68 citation statements)

References 8 publications

(9 reference statements)

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“…The same held true for patient self‐assessment of cosmetic appearance, quality of life and overall impairment. Eight years after surgery, the reduction in the amount of conservative treatment (combined decongestive therapy, compression garments) was similar to that observed 4 years earlier (Baumgartner, Hueppe, & Schmeller, ).…”

Section: Surgical Treatmentsupporting

confidence: 80%

Lipedema—An update

Wollina

2018

Dermatologic Therapy

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Lipedema is a chronic disabilitating disease affecting the subcutaneous adipose tissue of the extremities in females during or after puberty. The disease is characterized by bilateral swelling of legs and/or arms, bruising, and pain. In contrast to lymphedema, the most distal parts remain unaffected. In contrast to obesity, patients with lipedema have a lower risk of diabetes mellitus. The pathogenesis is not well understood. However, hormonal factors seem to play a vital role, as it is an exclusively female disorder. The recent advantages in understanding and treating lipedema are reviewed.

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Section: Surgical Treatmentsupporting

confidence: 80%

Lipedema—An update

Wollina

2018

Dermatologic Therapy

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“…There is a significant burden of comorbidities among these patients which need consideration for surgical interventions. Recent trials suggest, that the benefit is lasting at least for 8 years and the necessity for adjuvant CDT is markedly reduced (Baumgartner, Hueppe, & Schmeller, ). Nevertheless, the procedure needs a professional surgical experience and setting.…”

Section: Discussionmentioning

confidence: 99%

“…Recent trials suggest, that the benefit is lasting at least for 8 years and the necessity for adjuvant CDT is markedly reduced (Baumgartner, Hueppe, & Schmeller, 2014). Nevertheless, the procedure needs a professional surgical experience and setting.…”

Section: Discussionmentioning

confidence: 99%

Treatment of lipedema by low‐volume micro‐cannular liposuction in tumescent anesthesia: Results in 111 patients

Wollina

Heinig

2019

Dermatologic Therapy

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Lipedema is a painful disease of subcutaneous adipose tissue leading to bilateral increase of leg and/or arm volume, but sparing hands and feet. Although conservative treatment with complex decongestive therapy has been considered as the fundamental treatment, micro‐cannular liposuction in tumescent anesthesia has become a surgical option. We report on 111 patients mostly with advanced lipedema treated by this technique in our center between 2007 and 2018. The median age of the patients was 44 years. Eighty percent of patients had at least one comorbidity. There was an association of longstanding and advanced disease to obesity and diseases of the metabolic syndrome‐spectrum. The median total amount of lipoaspirate was 4,700 ml, with a range of 950–14,250 ml. The median reduction of limb circumference was 6 cm. The median pain level before treatment was 7.8 and 2.2 at the end of the treatment. An improvement of mobility could be achieved in all patients. Bruising was also reduced. Serious adverse events were observed in 1.2% of procedures, the infection rate was 0% and the bleeding rate was 0.3%. Liposuction is an effective treatment for painful lipedema. The procedure should be performed in specialized centers.

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“…Die operativ tätigen lymphologischen Kollegen arbeiten nahezu ausschließlich mit der Tumeszenz-Lokalanästhesie (TLA) [5,[14][15][16][17]28,29]. Als wesentliche Vorteile wird das Fehlen der Risiken der Allgemeinnarkose, das geringere Thromboserisiko, die Möglich-keit der aktiven Mitarbeit an der Lagerung und die unmittelbare intraoperative Befundkontrolle für mögliche Feinkorrekturen betont [30].…”

Section: Op Technikunclassified

Operative Behandlung des Lipödems

Ghods

Kruppa

2018

Handchir Mikrochir plast Chir

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ZusammenfassungObwohl die Liposuktion des Lipödems eine etablierte Therapieoption in der Behandlung des Lipödems darstellt, variieren die dargebotenen Behandlungskonzepte zwischen den Kliniken stark untereinander. Eine dezidierte Zusammenfassung aller beschriebenen Protokolle sowie deren kritische Evaluierung blieben bislang unveröffentlicht. Als Primärziel der vorgestellten Übersichtsarbeit soll eine Basisstruktur zur geplanten konsensuellen Standard Operative Procedure (SOP) der Fachgesellschaft DGPRÄC in der operativen Behandlung des Lipödems geschaffen werden. Hierfür wurden insgesamt 140 Publikationen bezüglich des Lipödems systematisch aufgearbeitet und katalogisiert. Es werden sowohl grundsätzliche Unterschiede in den Behandlungsstrategien, als auch kleinere Differenzen im organisatorischen Management aufgezeigt und zur Diskussion gestellt.

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Long-term benefit of liposuction in patients with lipoedema: a follow-up study after an average of 4 and 8 years

Abstract: These results demonstrate for the first time the long-lasting positive effects of liposuction in patients with lipoedema.

Cited by 75 publications

References 8 publications

Lipedema—An update

Lipedema—An update

Treatment of lipedema by low‐volume micro‐cannular liposuction in tumescent anesthesia: Results in 111 patients

Operative Behandlung des Lipödems

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