9911-1887 Cardenas-Camarena
Cardenas-Camarena L, Tobar-Losada A, Lacouture AM.
Large-volume circumferential liposuction with tumescent technique: a sure and
viable procedure.
Plast Reconstr Surg. 1999 Nov;104(6):1887-99. PMID: 10541195
Jalisco Institute of Reconstructive Surgery, Guadalajara, Mexico.
plassurg@foreigner.class.udg.mx
During a 4-year period, 152 female and 9 male patients underwent large-volume
liposuction, with ages ranging from 19 to 65 years (mean of 36 years), with a
weight previous to surgery between 57 and 126 kg (mean of 72 kg). Tumescent
liposuction was done simultaneously by two surgeons in several corporal areas
according to the necessities of each case. In 28 patients (17 percent), 500 ml
of whole blood was required previous to the surgery by self donation. By means
of liposuction, volumes between 5 and 22.3 liters (mean of 8.7 liters) were
obtained with an average relation of 860 cc of fat for 140 cc of liquid. The
reduction of hemoglobin and hematocrit at 1 week after surgery was of 3.8 g and
12 percent, respectively. The weight after surgery during the patient's
follow-up varied from 54 to 111 kg, with an average of 66 kg. Major
complications were not presented. Minor complications consisted of two
superficial cutaneous necroses (1.2 percent) and 18 seromas (11.2 percent),
which were drained without leaving sequelae; 24 patients (14.9 percent)
presented postsurgical palpable irregularities, visible in only 8 patients (5
percent); 148 patients (92 percent) expressed important satisfaction with the
results of the surgery, with the remaining 13 (8 percent) expressing some
disagreement due to persistent irregularities. These complications had a direct
relationship to some factors of the surgical technique and some characteristics
of the patients. The amount of fat liposuctioned, the ideal height-weight
relationship of the patient, the diameter of the cannulas used, and the
experience acquired during the time were the most important factors that were
associated with the complications. Based on these results, we concluded that
large-volume circumferential liposuction with tumescent technique is a viable
and sure alternative to achieve improvement of the body contour and weight loss.
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