SAFETY OF LARGE-VOLUME LIPOSUCTION, DANIEL LANZER, M.D.
SAFETY OF LARGE-VOLUME LIPOSUCTION, DANIEL LANZER, M.D.
ABSTRACT
Large-volume liposuction in excess of 4 liters supernatant fat can be performed safely. However, it requires special care and treatment. The following paper illustrates the authors approach, which is directed to reduce the risks of the potential causes of mortality. The study outlines the guidelines that the author followed in treating more than 5,000 patients over a ten-year period.
INTRODUCTION
LIPOSUCTION has been practiced for more than 20 years. Initial liposuction performed by Giorgio Fischer in Italy in 1975 was a procedure associated with blood loss and other significant complications. The major breakthrough occurred in 1987 with the development of the tumescent technique by dermatologic surgeon Jeffrey Klein.(1) He showed that by infiltrating extremely large volumes of a dilute local-anesthetic- containing solution he was able to reduce bleeding, and the procedure could be performed under local anesthetic or light sedation. Many specialties have taken to liposuction. However, a study by Grazer and de Jong(2) of plastic surgeons indicated that there has been a significantly high death rate from liposuctions during the last few years. Although other specialties have shown a significantly lower rate of mortality, there are lessons for all surgeons to learn.
More info visit - http://www.drlanzer.com.au
ABSTRACT
Large-volume liposuction in excess of 4 liters supernatant fat can be performed safely. However, it requires special care and treatment. The following paper illustrates the authors approach, which is directed to reduce the risks of the potential causes of mortality. The study outlines the guidelines that the author followed in treating more than 5,000 patients over a ten-year period.
INTRODUCTION
LIPOSUCTION has been practiced for more than 20 years. Initial liposuction performed by Giorgio Fischer in Italy in 1975 was a procedure associated with blood loss and other significant complications. The major breakthrough occurred in 1987 with the development of the tumescent technique by dermatologic surgeon Jeffrey Klein.(1) He showed that by infiltrating extremely large volumes of a dilute local-anesthetic- containing solution he was able to reduce bleeding, and the procedure could be performed under local anesthetic or light sedation. Many specialties have taken to liposuction. However, a study by Grazer and de Jong(2) of plastic surgeons indicated that there has been a significantly high death rate from liposuctions during the last few years. Although other specialties have shown a significantly lower rate of mortality, there are lessons for all surgeons to learn.
More info visit - http://www.drlanzer.com.au
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