Pain Management after Lipoplasty: A Study of 303 Cases

Manassa, Edouard H.; Hellmich, Susanne; Ronert, Marc A.; Hofheinz, Holger; Olbrisch, R. R.

doi:10.1097/01.prs.0000161453.43037.fa

Cited by 8 publications

(5 citation statements)

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“…50 Similarly, 68.3 percent of liposuction patients in a large series had sufficient pain control without use of opioids. 51 COX-2 inhibitors such as celecoxib are associated with a lower bleeding risk than nonsteroidal antiinflammatory drugs 49 and have been shown to reduce opioid requirements in plastic surgery patients postoperatively, 52 although they should be avoided in patients with ischemic heart disease. Preoperative injection of the surgical incision site with local anesthetic has been shown to decrease opioid requirements in breast reduction.…”

Section: Recommendationsmentioning

confidence: 99%

Managing Opioid Addiction Risk in Plastic Surgery during the Perioperative Period

Demsey

Carr

Clarke

et al. 2017

Plastic &Amp; Reconstructive Surgery

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Summary Opioid addiction is a public health crisis that affects all areas of medicine. Large numbers of the population across all racial and economic demographics misuse prescription opioids and use illicit opioids. The current understanding is that opioid misuse is a disease that requires treatment, and is not an issue of choice or character. Use of opioid medication is a necessary part of postoperative analgesia, but many physicians are unsure of how to do this safely given the risk of patients developing an opioid misuse disorder. This review gives an update of the current state of the opioid crisis, explains how current surgeons prescribing practices are contributing to it, and gives recommendations on how to use opioid medication safely in the perioperative period.

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Section: Recommendationsmentioning

confidence: 99%

Managing Opioid Addiction Risk in Plastic Surgery during the Perioperative Period

Demsey

Carr

Clarke

et al. 2017

Plastic &Amp; Reconstructive Surgery

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“…Several liters of tumescent solution consisting of dilute local anesthetic, epinephrine, and crystalloid are infiltrated into the subcutaneous tissue, percolating through tissue layers prior to aspiration [9]. The saline makes the subcutaneous tissue firm and turgid from absorption (tumescence), epinephrine causes vasoconstriction which decreases bleeding, and lidocaine induces local anesthesia [10]. Generally, incisions are left open to drain any remaining fluid [11].…”

Section: Discussionmentioning

confidence: 99%

Necrotizing Soft Tissue Infection and Perforated Viscus After Suction-Assisted Lipectomy

Fuente

Ferdinand

Dybas

et al. 2020

Cureus

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Suction-assisted lipectomy (SAL) is a commonly performed cosmetic surgery in the United States and has been steadily increasing in popularity over the past few years. As more of these surgeries are performed, several rare but life-threatening complications are being recognized, including necrotizing soft tissue infections (NSTIs). NSTIs require rapid surgical intervention but can be challenging to diagnose, as skin manifestations may be difficult to differentiate from normal post-SAL changes. We present a case of a 44-year-old female who presented with signs of septic shock after SAL of her abdomen and back. She was ultimately found to have an NSTI of her abdominal wall, likely due to perforated viscus that occurred as a complication of her procedure. This case demonstrates the significance of recognizing NSTIs as a potential complication of SAL in ill-appearing patients with non-specific symptoms and septic shock.

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“…15 The saline balloons tissues (tumescence), epinephrine causes vasoconstriction which decreases bleeding, and lidocaine induces local anesthesia. 16 Generally, incisions are left open to drain remaining fluid. 17 Duration of SAL procedures is typically 3-4 hours.…”

Section: Brief Review Of Surgical Techniques Liposuctionmentioning

confidence: 99%

Plastic Surgery Complications: A Review for Emergency Clinicians

Montrief

Bornstein

Ramzy

et al. 2020

WestJEM

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The number of aesthetic surgical procedures performed in the United States is increasing rapidly. Over 1.5 million surgical procedures and over three million nonsurgical procedures were performed in 2015 alone. Of these, the most common procedures included surgeries of the breast and abdominal wall, specifically implants, liposuction, and subcutaneous injections. Emergency clinicians may be tasked with the management of postoperative complications of cosmetic surgeries including postoperative infections, thromboembolic events, skin necrosis, hemorrhage, pulmonary edema, fat embolism syndrome, bowel cavity perforation, intra-abdominal injury, local seroma formation, and local anesthetic systemic toxicity. This review provides several guiding principles for management of acute complications. Understanding these complications and approach to their management is essential to optimizing patient care. [West J Emerg Med. 2020;21(6)179-189.] aware of possible complications. METHODS This review focuses on the complications of the most common surgical procedures including liposuction, breast augmentation, abdominoplasty, and subcutaneous injections. We describe the expected presentations, evaluation, and emergent care required to manage post-cosmetic surgery complications. We performed a literature search of Medline,

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Pain Management after Lipoplasty: A Study of 303 Cases

Cited by 8 publications

References 0 publications

Managing Opioid Addiction Risk in Plastic Surgery during the Perioperative Period

Managing Opioid Addiction Risk in Plastic Surgery during the Perioperative Period

Necrotizing Soft Tissue Infection and Perforated Viscus After Suction-Assisted Lipectomy

Plastic Surgery Complications: A Review for Emergency Clinicians

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