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At least 199 records · Page 11Linked to original sources
PubMed1993

Diabetic lipohypertrophy treated with suction-assisted lipectomy.

OBJECTIVES: To investigate the effectiveness of liposuction as treatment for lipohypertrophy in insulin-treated diabetic patients. DESIGN: Open clinical study. SETTING: Norwegian National Hospital, Oslo. SUBJECTS: Five consecutive diabetic patients operated on for insulin-induced lipohypertrophy. INTERVENTIONS: Syringe-assisted liposuction under local anaesthesia. MAIN OUTCOME MEASURES: Change in contours assessed by pre- and postoperative photographs, and by the patients' and surgeon's evaluations according to a four-point graded scale. RESULTS: Good or excellent results were obtained in all patients. Small surface irregularities were seen in two patients who had large volumes of fat removed from the proximal anterior thighs. Apart from this no side-effects or complications occurred. CONCLUSIONS: Insulin-induced lipohypertrophy ('insulin tumours') can be treated successfully with liposuction.

Adipose Tissue↗
PubMed2006

Use of PlasmaJet system in patients undergoing abdominal lipectomy following massive weight loss resulting from bariatric surgery: early experience.

BACKGROUND: Abdominoplasty has become a popular operation among patients seeking body contouring surgery due to the recent development of laparoscopic procedures in bariatric surgery and the epidemic diffusion of obesity. The wide surface of dissection is responsible for common postoperative complications such as seroma and hematoma. METHODS: PlasmaJet system (PJS), a high energy flow of ionized gas, can be used to stop capillary bleeding from blood and lymph vessels. We tested the PJS in a prospective series of 15 consecutive patients undergoing abdominoplasty after bariatric surgery-induced weight loss. RESULTS: 14 women underwent abdominoplasty with the PlasmaJet system after a mean weight loss of 48 kg (range 37-53). Mean operative time was 73 min (range 60-87). There was no postoperative complication. Mean fluid output from drains was 351.1 ml/patient (range 60 to 568), and drains were removed at a mean time of 4.8 days (range 3 to 6). CONCLUSION: These results are in favor of the efficacy of the PJS in reducing the amount of fluid production, and the rate of postoperative complications. However, this should be confirmed in a randomized trial comparing the PJS with standard technique.

Abdomen↗
PubMed1995

Blood loss during suction-assisted lipectomy with large volumes of dilute adrenaline.

The amount of blood lost during liposuction with the "dry" or classic "wet" techniques has been a cause for concern. In the present study 26 consecutive patients who underwent syringe-assisted liposuction with the "superwet" or "tumescent" technique had their blood loss recorded prospectively. The mean (SD) volume aspirated was 2448 (1368) ml and the mean (SD) drop in haemoglobin concentration was 11 (7) g/l. The haemoglobin concentration was measured in both the fluid and the fat fraction of the aspirate, and the mean (SD) amount of whole blood was 16.5 (9.3) ml/litre of aspirate. The present study shows that blood loss is considerably reduced when the "super-wet" or "tumescent" technique is used, compared with the reported amount lost by authors who used the "dry" or classic "wet" techniques.

Adult↗
PubMed1990

[A plea for a non-hemorrhagic aspiration lipectomy].

Lipoplasty is and must be an atraumatic procedure. The surgeon must aspirate fat but not blood. The main goals of this technical note are: to show the interest of a "white procedure", to describe the "tricks" to avoid bleeding, to summarise "how to do it".

Epinephrine↗