9810-1690 Tebbetts
Tebbetts JB.
Minimizing complications of ultrasound-assisted lipoplasty: an initial experience with no related complications.
Plast Reconstr Surg. 1998 Oct;102(5):1690-7. PMID: 9774032
Numerous complications and increased operating times were reported with
ultrasonically assisted lipoplasty in the first several months after
introduction of the technology in the United States. The purpose of this study
was to review early reported complications and management regimens, evaluate
possible causes of problems, and apply indications and techniques to attempt to
minimize complications during an initial experience with this technique
beginning in January of 1997. Seven specific indications and modifications of
existing techniques were developed and applied to an initial clinical series of
70 consecutive patients who underwent ultrasound-assisted suction lipoplasty
between January 10, 1997, and August 1, 1997. Follow-up ranged from 1 to 7
months. No perioperative or postoperative complication occurred in any patient
in this series. In this series of ultrasound-assisted lipoplasty cases,
application of the following criteria resulted in a series of 70 patients with 1
to 7-month follow-up without complications: (1) selecting patients with well
localized fat deposits who were no more than 20 percent above their ideal body
weight; (2) infusing a solution of Ringer's Lactate containing 1 cc of 1:1000
epinephrine per 1000 cc into the area of fat removal, stopping infusion when the
tissues first become firm, not infusing to marked tissue turgor or skin
induration; (3) restricting the level of energy application to a minimum of 1 cm
from the undersurface of the dermis; (4) limiting ultrasonic energy application
in each area to approximately 1 minute per estimated 100 cc of total aspirate in
a wet to superwet environment; (5) not performing ultrasound-assisted lipoplasty
in the same area as another procedure that could potentially compromise tissue
vascularity; (6) using a Lysonix 2000 generator and 5-mm golf tee tip probe at a
power setting of 8 to apply ultrasonic energy to the area of fat removal,
ceasing energy application when tissue resistance to the passage of the probe
decreases and moving the cannula as rapidly as tissue resistance allows; and (7)
using a standard elastic garment without adherent foam or other materials for 2
weeks postoperatively, encouraging all normal activity immediately, and
restricting aerobic activities for 2 weeks.
|
