Multiple Symmetric Lipomatosis: Lipectomy for Madelung Collar

Đuc, Nguyen Quang; Lam, Vu Ngoc; Hải, Lê Thị Thu; Nghĩa, Nguyễn Trọng; Linh, Le Diep

doi:10.1097/psn.0000000000000413

Plastic and Aesthetic Nursing

2022

DOI: 10.1097/psn.0000000000000413

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Multiple Symmetric Lipomatosis: Lipectomy for Madelung Collar

Nguyen Quang Đuc¹,

Vu Ngoc Lam²,

Lê Thị Thu Hải³

et al.

Abstract: and edited the article. V.N.L. and N.T.N. equally designed and conducted the experiment. N.Q.D. and V.N.L. studied scientific literature about the topic. All authors read and approved the final manuscript. This study complied with the Declaration of Helsinki in relation to medical research involving human subjects and got consent from the Research Ethics Committee of the 108 Institute of Clinical Medical and Pharmaceutical Sciences. Informed consent was obtained from all individual participants included in the… Show more

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“…• Multiple symmetric lipomatosis and the use of lipectomy surgery for Madelung collar (Duc et al, 2022); • A fat embolism that occurred after plastic surgery (Minh, 2022); • Reconstruction of a postburn anterior neck contracture with a free thin anterolateral thigh flap (Mulhotra et al, 2022); and • Using a V-Y advance flap to reconstruct an alar rim defect after a human bite injury (Vicente-Pardo et al, 2022).…”

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Wicklin¹

2022

Plastic and Aesthetic Nursing

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“…Multiple symmetric lipomatosis and the use of lipectomy surgery for Madelung collar (Duc et al, 2022);…”

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2022

Plastic and Aesthetic Nursing

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Lipectomy for madelung disease using tumescent technique: a cross-sectional study

Duc,

Tien,

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Madelung’s disease is a rare disfiguring disorder that affects both function and esthetic appearance in the head and/or shoulder, neck, and arms regions. Lipectomy is typically necessary but such treatment can encounter difficulties due to the large sizes of the tumors, interspersed with important organs in the surrounding region. In this report, the authors evaluate the effectiveness of using tumescent solution in lipectomy to provide a dual treatment of tissue removal for Madelung disease in the head-and-neck region. Methods: A prospective study and clinical descriptions were conducted on 17 patients undergoing 26 head-and-neck lipectomies. A tumescent solution was injected into the surgical region with a blunt-tip cannula 5–10 min before skin incision. The authors recorded systemic manifestations both during and after surgery; tumescent volume; surgical region; clarity of the operative field; weight of fat removed, and early complications. After surgery, the authors followed the patients from periods of 3 months to 4 years. Results: All 17 male patients had a history of alcoholism. In total, 12 lipectomies for the removal of anterior neck fatty masses and 14 lipectomies for the removal of posterior neck fatty masses were performed. The average amount of tumescent injected was 260.1 ml (range 140–550 ml). Surgery was reported as totally bloodless in 10 (38.5%) operative fields, with minimum bleeding in 12 (46.1%) operative fields, acceptable bleeding in four (15.4%) operative fields. The average surgical time was 175.6 min (range 135–250 min). The removed fatty masses weighed between 250 and 2150 g, with an average of 582.9 g. Early complications were seen in four patients, accounting for 15.4% (2 hematoma, 1 skin necrosis, and 1 seroma). Conclusions: Using tumescent solution in lipectomies to treat Madelung disease in the head and neck area is a simple, safe, and useful technique. The technique helps to create a clean operative field, reduces bleeding, and thereby assists surgeons during the operation.

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Multiple Symmetric Lipomatosis: Lipectomy for Madelung Collar

Cited by 2 publications

References 18 publications

Our Journal Has a New Name!

Our Journal Has a New Name!

Lipectomy for madelung disease using tumescent technique: a cross-sectional study

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