8910-628 Teimourian
Teimourian B, Rogers WB 3rd.
A national survey of complications associated with suction lipectomy: a comparative study.
Plast Reconstr Surg. 1989 Oct;84(4):628-31. PMID: 2528776 [PubMed - indexed for MEDLINE]
Department of Surgery, Suburban Hospital, Bethesda, Md.
In March of 1988, a survey form was sent to all 2695 U.S. and Canadian members
of the American Society of Plastic and Reconstructive Surgeons. Nine-hundred and
thirty-five members responded, for a response rate of 34.7 percent. The purpose
of the survey was to ascertain the total number of major liposuction,
dermatolipectomy, and abdominoplasty procedures performed from January of 1984
to January of 1988 and to compare nine specific complications that are
associated with these three procedures. The 935 surgeons reported a total of
112,756 procedures performed: major liposuction (75,591), dermatolipectomy
(10,603), and abdominoplasty (26,562). Nine major complications were surveyed:
mortality, myocardial infarction, cerebrovascular accident or transient ischemic
attack, pulmonary thromboembolism, fat embolism, major skin loss, anesthesia
complication, transfusion complications, and deep venous thrombosis. The
findings in this survey showed, when comparing these three procedures and the
nine types of complications, that the complication rate for major suction
lipectomy was 0.1 percent, for dermatolipectomy 0.9 percent, and for
abdominoplasty 2.0 percent. Fat emboli did not prove to be a significant factor
associated with any of the three procedures. However, of the 15 reported deaths
(major liposuction 2, dermatolipectomy 2, and abdominoplasty 11), pulmonary
thromboembolism was the causative factor in 9 deaths (60 percent). Based on
these analyzed data, we feel that major suction lipectomy has a low complication
rate and is a reasonably safe procedure.
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