0407-967 Hanke

Dermatologic Surgery

2004 Abstract

0407-967 Hanke

Hanke W, Cox SE, Kuznets N, Coleman WP 3rd.
Tumescent liposuction report performance measurement initiative: national survey
results. Dermatol Surg. 2004 Jul;30(7):967-77; discussion 978. PMID: 15209785

The Laser and Skin Surgery Center of Indiana, Carmel, Indiana, USA.

BACKGROUND: This study was created by the Accreditation Association for
Ambulatory Health Care Institute for Quality Improvement to measure clinical
performance and improvement opportunities for physicians and ambulatory
health-care organizations. Data were collected prospectively between February
2001 and August 2002. Thirty-nine study centers participated, and 688 patients
who had tumescent liposuction were surveyed and followed for 6 months.
OBJECTIVE: The objective was to determine patient satisfaction with tumescent
liposuction and examine current liposuction practice and the safety of tumescent
liposuction in a representative cohort of patients. METHODS: The Accreditation
Association for Ambulatory Health Care Institute for Quality Improvement
collected prospective data from February 2001 to August 2002 from 68
organizations registered for this study. Ultimately 39 organizations submitted
688 useable cases performed totally with local anesthesia, "tumescent
technique." RESULTS: The overall clinical complication rate found in the
Accreditation Association for Ambulatory Health Care Institute for Quality
Improvement study was 0.7% (5 of 702). There was a minor complication rate of
0.57%. The major complication rate was 0.14% with one patient requiring
hospitalization. Seventy-five percent of the patients reported no discomfort
during their procedures. Of the 59% of patients who responded to a 6-month
postoperative survey, 91% were positive about their decision to have liposuction
(rating of 4 or 5 on a scale of 1-5) and 84% had high levels (4 or 5 on a scale
of 1-5) of overall satisfaction with the procedure. CONCLUSIONS: Our findings
are consistent with others in that tumescent liposuction is a safe procedure
with a low complication rate and high patient satisfaction.