9312-1298 Badran
Badran HA, Kodeara KZ, Mabrouk MH.
Blood conservation in massive suction lipectomy.
Plast Reconstr Surg. 1993 Dec;92(7):1298-304. PMID: 8248405
Department of Plastic Surgery and Anaesthesiology, Ain Shams University Faculty
of Medicine, Cairo, Egypt.
The practice of massive liposuction for the treatment of patients with large
lipodystrophies has already been reported. The safety of this technique lies in
proper fluid and blood replacement. Blood conservation techniques are therefore
needed to avoid or minimize homologous transfusion. The use of a combination of
predeposited autologous blood and acute intraoperative normovolemic hemodilution
in the management of 150 patients requiring massive liposuction is reported.
Since it is possible to anticipate the amount of blood loss in liposuction, a
formula is proposed to monitor the hematocrit of the patient during the
procedure and therefore predict the need for homologous transfusion. The
technique reported enabled us to aspirate up to 11 liters in a single stage.
Homologous transfusion was either avoided or markedly reduced. The degree of
patient satisfaction was high, with no mortality or morbidity reported.
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