The Effect of Epinephrine on Blood Loss During Suction Lipectomy

Courtiss, Eugene H.; Kanter, Mitchel A.; Kanter, William R.; Ransil, Bernard J.

doi:10.1097/00006534-199111000-00009

Cited by 26 publications

(5 citation statements)

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“…The above-mentioned results show why the operating and postoperative course, the complications, and the general aesthetic effect are better than those obtained with the former operating method [5,8]. We particularly observed a considerable decrease in the postoperative edema.…”

Section: Resultssupporting

confidence: 51%

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Lipoplastics of Legs: Our Experience with a New Cannula Compared with Classical Technique

Bruno¹,

Abbiati²,

Amadei³

2000

Aesth. Plast. Surg.

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The Authors compare the results obtained between two groups of patients suffering from leg lipodystrophy, who were subjected to a reducing lipoplasty. In the first group, surgeons made use of a new sort of cannula, deprived of the classical grip, whereas in the second group, they employed the traditional probe. The best results, achieved with the first group, prove this new operating system is really effective, particularly on legs, for the following reasons: (1) Higher precision and better control of the instrument (2) Swan-neck cannula abolition (3) Opportunity to operate with both hands (4) Halved operating time (5) No tiredness after the operation.

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Section: Resultssupporting

confidence: 51%

“…At the end of the operation, we sutured the surgical wound with a nylon stitch. The whole leg was finally coated with a particular kind of sheath (worn from 4 to 6 weeks) [3][4][5].…”

Section: Methodsmentioning

confidence: 99%

Lipoplastics of Legs: Our Experience with a New Cannula Compared with Classical Technique

Bruno¹,

Abbiati²,

Amadei³

2000

Aesth. Plast. Surg.

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“…14 However, these procedures were associated with significant morbidity, not insignificant rates of mortality, and, especially when dry techniques were employed, a high degree of blood loss. [14][15][16][17][18][19][20] Although tumescent and superwet techniques are associated with easier removal of fat cells, they do not address the need for a more target tissue specific mechanism of action of extracting fat tissue in liposuction which would reduce iatrogenic trauma to nonfat tissue. The target tissue specific liquefaction of fat by TLL is made possible by using a novel energy source for surgery referred to as tissue liquefaction technology.…”

Section: Discussionmentioning

confidence: 99%

A Multicenter, Prospective, Randomized, Contralateral Study of Tissue Liquefaction Liposuction vs Suction-Assisted Liposuction

Hunstad¹,

Godek²,

Natta

et al. 2018

Aesthetic Surgery Journal

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Background Tissue liquefaction liposuction (TLL) deploys a novel energy source utilizing a stream of warmed, low-pressurized, and pulsed saline to extract fat tissue. Objectives Compare TLL to suction-assisted liposuction (SAL) to determine which device is more efficient for surgeons and provides better recovery for patients. Methods Thirty-one adult female patients were followed prospectively in a contralateral study design comparing differences in bruising, swelling, tenderness, and incision appearance ratings between TLL and SAL procedures. Surgical efficiency and appearance of the lipoaspirate were also compared. Results All 31 patients successfully completed the study. For TLL and SAL procedures, the average volumes of infusion (1.242 vs 1.276 L) and aspirated supernatant fat (704 vs 649 mL) were statistically similar. TLL median fat extraction rate was faster than SAL (35.6 vs 25 mL/min; P < 0.0001), and stroke rate was reduced in TLL vs SAL procedures (48 vs 120 strokes/min; P < 0.0001), and both were statistically significant. The mean total scores for bruising, swelling, treatment site tenderness, and incision appearance were lower, indicating improved patient recovery on the TLL side. Conclusions TLL and SAL techniques produced comparable volume of fat aspirate. TLL demonstrated a 42% faster fat extraction rate and a 68% reduction in arm movements needed to complete the procedure compared to SAL, both of these differences are statistically significant. The TLL side was noted to have reduced bruising and swelling and improved incision site appearance with less tenderness compared to the SAL side. Level of Evidence: 2

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“…By adding epinephrine, the majority of authors [5, 6, 11, 14, 23, 26-28, 39, 40] claim to have noticed less bleeding although Courtiss et al [41,42], did not find the same results. Many authors stress that the large amount of fluid infused in the tumescent technique compresses the subcutaneous vessels and blanches the skin by Vilain et al [14].…”

Section: Epinephrine and Tumescent Techniquementioning

confidence: 99%

The tumescent technique revisited

Bussien¹,

Maillard²

1996

Eur J Plast Surg

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In the history of suction-assisted lipectomy, ultrasonic liposculpture and body contouring procedures, Klein's formula for the tumescent technique represents an important milestone. Since 1987 the formula has been altered by other clinicians. Although initially created for outpatient surgery without the services of an anesthetist, the technique is nowadays used so frequently that it cannot any longer be considered as a minor office procedure. It is useful to examine the ingredients of the various formula used in order to justify their use. This paper contains five sections. Part one deals with the fluid required by the various authors. Water and electrolytes exchanges in relation to the interstitial compartment are reviewed. Part two considers local anesthetics, their toxicity and the maximum safe dose. Part three considers the controversy on epinephrine. Part four comments on the addition of sodium bicarbonate to the solution. Part five explains why infiltration of chilled solutions is inappropriate. The following regimen is advised as a result of the above studies: lactated Ringer's solution is the fluid of choice; lidocaine: 500 rag/1 as the reference anesthetic. The maximum safe dose recommended for liposuction is 35 mg/kg over 45 rain (PDR recommendations: 7 mg/kg). Epinephrine: 1 rag/1. Prospective studies ought to be done on the topic: Sodium bicarbonate 8.4%: 5 MEq/1 (optional). Higher doses are of no value but are not harmless. The fluids to be infiltrated at room temperature rather than chilled.

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The Effect of Epinephrine on Blood Loss During Suction Lipectomy

Cited by 26 publications

References 0 publications

Lipoplastics of Legs: Our Experience with a New Cannula Compared with Classical Technique

Lipoplastics of Legs: Our Experience with a New Cannula Compared with Classical Technique

A Multicenter, Prospective, Randomized, Contralateral Study of Tissue Liquefaction Liposuction vs Suction-Assisted Liposuction

The tumescent technique revisited

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