| 0309-925 Katz
Katz BE, Bruck MC, Felsenfeld L, Frew KE.
Power liposuction: a report on complications. Dermatol Surg. 2003 Sep;29(9):925-7; discussion 927. PMID: 12930334
Department of Dermatology, College of Physicians and Surgeons, Columbia
University, New York, NY, USA.
BACKGROUND: Liposuction is the most commonly performed cosmetic surgical
procedure in the United States. Traditional liposuction (TL) performed under
general anesthesia has been associated with reports of major systemic
complications, including death. When TL is performed using only tumescent
anesthesia, there have been no reported deaths and few significant systemic
complications. Power liposuction (PL), a newer procedure in which a
reciprocating cannula is used to evacuate fat, has reported benefits over TL.
OBJECTIVE: To determine the complication rate associated with PL and to compare
it with TL (regardless of the type of anesthesia). METHODS: In this study, 207
consecutive PL cases performed with tumescent anesthesia between August 2000 and
May 2002 by a dermatologic surgeon (B.K.) and a plastic surgeon (M.B.) were
reviewed retrospectively to determine the number of complications associated
with the PL procedure. RESULTS: No systemic complications were identified, and
only three local complications (all seromas) were found. This represents a
complication rate of 1.4%. CONCLUSION: Our results demonstrate fewer
complications when performing PL using tumescent anesthesia compared with TL
using general anesthesia. When compared with TL using tumescent anesthesia, the
overall complication rate did not differ significantly. We conclude that in
addition to PL previously demonstrated benefits, the complication profile
compares favorably with TL under local tumescent anesthesia. Therefore, PL may
assume a more prominent role in the armamentarium of the surgeon performing
liposuction.
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