Ultrasonic liposculpturing

Zocchi, Michele L.

doi:10.1007/bf01570690

Cited by 189 publications

(88 citation statements)

References 18 publications

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“…The variability in a number of perforators after liposuction is likely related to factors such as the cannula used, the number of passes, strength of suction and operator force and technique. An ultrasound-assisted liposuction technique described by Zocchi [19] showed less damage to neurovascular structures. However, these findings were later opposed by a study which compared conventional versus ultrasonic liposuction.…”

Section: Discussionmentioning

confidence: 95%

Free deep inferior epigastric perforator flap after abdominal liposuction: reconsidering a contraindication

et al. 2015

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Autologous breast reconstruction with perforators has been previously avoided in tissues that have undergone liposuction. We present a case series and literature review of breast reconstruction with deep inferior epigastric perforator (DIEP) flaps after abdominal wall liposuction. An MEDLINE search was performed for all relevant articles describing breast reconstruction with DIEP flap technique following the abdominal wall liposuction. Key search words used included "DIEP", "DIEAP", "deep inferior epigastric perforator", "liposuction" and "free flap". All published data on the topic from 1965 to December 2014 were reviewed. Articles were assessed for reports of clinical cases, complications, age, liposuction amount, time since liposuction and number of perforators for comparison. We have also presented 2 patients who underwent a DIEP procedure with a previous history of liposuction. Eight cases of autologous breast reconstruction using a DIEP flap after liposuction were identified in the literature in addition to the presented cases. The preoperative and postoperative course was uneventful in all cases except one patient who had a mild cellulitis managed with antibiotics and a second patient with a drainable hematoma. The average age was 52 years ± 6.4 years old, one perforator was used in all cases except one where 2 were used, and the average amount of total liposuction was 1,084 mL. No major complications were reported. Previous liposuction is not an absolute contraindication for free-flap breast reconstruction. Preoperative management should include evaluation of suitable perforators by duplex ultrasound or computed tomography angiography. Larger case series are needed to better understand the safety of perforator flaps after liposuction. Key words:Breast reconstruction, deep inferior epigastric perforator, flap, liposuction Review ArticleHow to cite this article: Mankowski PJ, Kanevsky J, Lessard AS, Zadeh T. Free deep inferior epigastric perforator flap after abdominal liposuction: reconsidering a contraindication. Plast Aesthet Res 2015;2:311-4. 19-07-2015; Accepted: 29-09-2015 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. Received:

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Section: Discussionmentioning

confidence: 95%

Free deep inferior epigastric perforator flap after abdominal liposuction: reconsidering a contraindication

et al. 2015

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“…Applications where this technology is licensed and in current clinical use are dentistry (Walmsley, 1988), phaco-emulsification in ophthalmology (Kelman, 1973), tissue dissection in abdominal surgery (Isomura et al, 1998), bone cutting in orthopaedic (Nakase et al, 2006) and maxillofacial surgery (Vercellotti, 2004), neurosurgery (Inoue et al, 2000), selective fragmentation and removal of pathological (e.g. tumour) tissue (Wuchnich et al, 1977), bone cement removal (Burstein et al, 2004) and lipoplasty (Zocchi, 1992). More recently, technology has been licensed for vascular plaque ablation in the treatment of chronic total occlusion (Weisz and Moses, 2007).…”

Section: Overviewmentioning

confidence: 99%

“…Since the late 1980s, ultrasonic surgical systems have been used to fragment and remove fatty tissue in lipoplasty (Zocchi, 1992;Cimino, 1999). The earliest clinical data were reports bym Scheflan and Tazi reporting their experience in 800 patients (Scheflan and Tazi, 1996) and Kloehn in over 600 patients (Kloehn, 1997).…”

Section: Lipoplastymentioning

confidence: 99%

High-power low-frequency ultrasound: A review of tissue dissection and ablation in medicine and surgery

OʼDaly

Morris

Gavin³

et al. 2008

Journal of Materials Processing Technology

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Ab s t r a c t High-power low-frequency ultrasound in the range 20-60 kHz has wide ranging clinical applications in surgical and medical instruments for biological tissue cutting, ablation or fragmentation, and removal. Despite widespread clinical application and common device operating characteristics, there is an incomplete understanding of the mechanism of tissue failure, removal and damage. The relative contribution of cavitation, direct mechanical impact and thermal effects to each process for specific tissue types remains unclear. Different and distinct mechanisms and rates of tissue removal are observed for interaction with soft and hard tissue types. Device operating parameters known to affect the interaction include frequency, peak-peak tip amplitude, suction and application time. To date, there has been little analysis of the effect of variations in, and interactions of, these parameters on tissue removal and damage for individual biological tissue types. Potential controllable damage mechanisms occurring in tissues include alteration in global biomechanical properties, histomorphological changes, protein denaturation and tissue necrosis. This paper presents a critical review of the literature on the clinical application, mechanism of tissue interaction, removal and residual tissue damage. It describes known mechanisms for distinct tissue types.

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“…If force is exerted repeatedly, it causes great damage to the tissues. For these reasons, surgeons are continuing to refine the procedures and seek more advanced procedures with less injury, shorter down time, and more effective, such as interventional ultrasound-assisted liposuction [3][4][5], external ultrasound-assisted lipoplasty [6] and power-assisted lipoplasty [7]. In the search for a better solution, laser lipolysis was used to treat localized adiposis instead of conventional liposuction.…”

Section: Introductionmentioning

confidence: 99%