Prevention and Treatment of Liposuction Complications

Shiffman, Melvin A.

doi:10.1007/3-540-27263-1_25

Cited by 6 publications

(30 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Infection after liposuction is very rare with incidents in various author reports less than 1%. 6 Not all infections post liposuction end up in necrotizing soft tissue infection but almost all are initially labeled as cellulitis.…”

Section: Discussionmentioning

confidence: 99%

Successful Outcome of Post Liposuction Extensive Necrotizing Soft Tissue Infection of Abdomen and Concomitant Jejunal Perforation—A Case Report

Hardeep

Khazanchi

Mahendru

2019

Indian J Plast Surg

View full text Add to dashboard Cite

Introduction Liposuction is one of the common cosmetic surgery procedures performed. Although rare, the complications associated with it are necrotizing soft tissue infection and bowel perforation. We would like to share our experience of such a complication that was managed successfully. Case Report We were referred a 65-year-old male patient with signs and symptoms of intestinal obstruction who had undergone liposuction of abdomen 1 week before and now had discoloration of the abdominal skin. The discoloration was present from just below the costal margin and was extending up to bilateral inguinal regions. Laterally the discoloration extended up to the mid axillary line on both sides. Imaging studies showed dilated small bowel. During laparotomy, he underwent debridement of all discolored skin and repair of the single jejunal perforation. Postoperatively patient was first managed on intravenous fluids, nasogastric aspiration and total parenteral nutrition for 10 days. The wound was managed with silver dressings that led to healthy granulations. The patient was at high risk for anesthesia for skin grafting; hence, he was managed with allograft for 10 days. The patient then underwent skin grafting once he was fit. The graft took up well and he resumed regular activities. Conclusion This is unique as the patient had extensive necrotizing soft tissue infection of the abdominal skin after liposuction along with intestinal perforation and obstruction that was managed successfully due to aggressive surgical intervention, allograft, and good supportive care both in the intensive care unit and in ward.

show abstract

Section: Discussionmentioning

confidence: 99%

Successful Outcome of Post Liposuction Extensive Necrotizing Soft Tissue Infection of Abdomen and Concomitant Jejunal Perforation—A Case Report

Hardeep

Khazanchi

Mahendru

2019

Indian J Plast Surg

View full text Add to dashboard Cite

show abstract

“…Rarely, brawny post-operative oedema with unusual pain and discomfort persists beyond 6 weeks and according to Shiffman this may be due to excessive trauma to the tissues leading to an internal burn-like injury. [ 12 ] This will then take a longer time to settle and may result in increased scarring, fibrosis and often surface contour irregularities.…”

Section: Local Complicationsmentioning

confidence: 99%

“…The collection of serous fluid in a liposuctioned area may be due to excessive tissue trauma, following aggressive oversuctioning of a single area with extensive breaking of the fibrous tissue network leading to a single cavity formation or it may be due to significant damage to the lymphatics. [ 12 ] In our experience if the compression garment given to the patient does not fit well or the patient repeatedly removes the garment and puts it back on, this also contributes to seroma formation. Some studies indicate that UAL is associated with a higher incidence of seromas.…”

Section: Local Complicationsmentioning

confidence: 99%

“…This can be prevented by always switching off the suction before withdrawing the cannula. [ 12 ] Although the criss-cross fanned out technique of liposuction is recommended for smooth and even contours, it can also be a double-edged sword. If performed incorrectly, it may lead to depressions due to excess fat removal in the overlapped or common areas.…”

Section: Local Complicationsmentioning

confidence: 99%

“…As Illouz aptly put it-“It is not so much what is removed that is important, but what is left behind”. [ 12 ]…”

Section: Local Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Unfavourable outcomes of liposuction and their management

Dixit¹,

Wagh²

2013

Indian J Plast Surg

View full text Add to dashboard Cite

Liposuction is one of the most popular cosmetic surgery procedures currently performed by plastic surgeons around the world. It must be clear at the outset that liposuction is not primarily a modality for weight loss, it is meant to be a body contouring procedure and therefore the inherent limitations and safety issues related to this must always be respected if complications and unfavourable results are to be avoided as far as possible.

show abstract

Survey Outcomes of Lipedema Reduction Surgery in the United States

Herbst

Hansen

Salinas

et al. 2021

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Lipedema is a loose connective tissue disease affecting the limbs of women, that is difficult to lose by diet, exercise, or bariatric surgery. Publications from Europe demonstrate that lipedema reduction surgery improves quality of life for women with lipedema. There are no comparable studies in the United States (USA). The aim of this study was to collect data from women with lipedema in the USA who have undergone lipedema reduction surgery in the USA to determine if quality of life, pain, and other measures improved after lipedema reduction surgery. Methods: Subjects were recruited and consented online for a 166-item questionnaire in REDCap. In total, 148 women answered the questionnaire after undergoing lipedema reduction surgery in the USA. Significance set at P < 0.05 was determined by ANOVA, Tukey’s multiple comparison test, or paired t -test. Results: Quality of life improved in 84% and pain improved in 86% of patients. Ambulation improved most in lipedema Stage 3 (96%). Weight loss occurred in all stages by 3 months after surgery. Complications included growth of loose connective tissue within and outside treated areas, tissue fibrosis, anemia, blood clots, and lymphedema. Conclusions: Women with lipedema noticed significant benefits after lipedema reduction surgery in the USA. Prospective studies are needed to assess benefits and complications after lipedema reduction surgery in the USA.

show abstract

Prevention and Treatment of Liposuction Complications

Cited by 6 publications

References 12 publications

Successful Outcome of Post Liposuction Extensive Necrotizing Soft Tissue Infection of Abdomen and Concomitant Jejunal Perforation—A Case Report

Successful Outcome of Post Liposuction Extensive Necrotizing Soft Tissue Infection of Abdomen and Concomitant Jejunal Perforation—A Case Report

Unfavourable outcomes of liposuction and their management

Survey Outcomes of Lipedema Reduction Surgery in the United States

Contact Info

Product

Resources

About