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Dermatologic Surgery

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1998 Abstract

 

9812-1326 Tsai

 

Tsai RY, Lai CH, Chan HL.
Evaluation of blood loss during tumescent liposuction in Orientals. Dermatol Surg. 1998 Dec;24(12):1326-9. PMID: 9865197

Department of Dermatology, Taipei Municipal Wan-Fang Hospital, Taipei Medical
College, Taiwan.

BACKGROUND: There are high risks from general anesthesia and excessive bleeding
associated with traditional liposuction using the dry or wet method. The blood
loss has been estimated to be between 15% and 45%. The tumescent technique
permits liposuction of more than 3,000 ml of fat totally by local anesthesia
without sedation. The blood loss is reported to be less than 1% of aspirate.
OBJECTIVE: To examine the blood loss during liposuction using tumescent
technique in Chinese patients compared with that of Caucasians as published in
the literature. METHODS: Hemoglobin values of patient's preoperative venous
blood and infranatant of aspirate were measured in 45 consecutive cases of
liposuction using the tumescent technique from May 1996 to June 1997. RESULTS: A
total of 30 patients completed the study. The average blood loss was estimated
to be 1.08% of aspirate. CONCLUSION: From this study, we found the blood loss in
Chinese patients is comparable with that in Caucasians. Tumescent liposuction is
a safe dermatologic cosmetic surgical procedure without the need of blood
transfusion and general anesthesia.

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