domingo, 19 de enero de 2014

Liposucción/Liposuction

Trauma esplénico durante liposucción de pared abdominal: informe de un caso


Splenic trauma during abdominal wall liposuction: a case report.
Harnett P, Koak Y, Baker D.
J R Soc Med. 2008 Apr;101(4):201-3. doi: 10.1258/jrsm.2008.081010.
Abstract
A 35-year-old woman collapsed 18 hours after undergoing abdominal wall liposuction. Abdominal CT scan revealed a punctured spleen. She underwent an emergency splenectomy and made an uneventful recovery.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2312382/





Morbilidad por liposucción bajo anestesia general- ¨El elefante en el cuarto¨

Morbidity from liposuction under general anaesthesia - 'the elephant in the room'.
Motley R, Field LM.
J R Soc Med. 2008 Jul;101(7):334. doi: 10.1258/jrsm.2008.080155.
Harnett and colleagues'1 report of splenic perforation from liposuction trauma and subsequent discussion of other reported complications from the procedure completely fails to adequately highlight the significantly increased risk associated with undertaking liposuction under general anaesthesia

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2442142/pdf/334a.pdf

Revisión quincenal: Cirugía cosmética
Fortnightly review: cosmetic surgery.
Hoeyberghs JL.
BMJ. 1999 Feb 20;318(7182):512-6.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1114967/pdf/512.pdf


Liposucción: desafíos para anestesia
Liposuction: Anaesthesia challenges.
Sood J, Jayaraman L, Sethi N.
Indian J Anaesth. 2011 May;55(3):220-7. doi: 10.4103/0019-5049.82652.
Abstract
Liposuction is one of the most popular treatment modalities in aesthetic surgery with certain unique anaesthetic considerations. Liposuction is often performed as an office procedure. There are four main types of liposuction techniques based on the volume of infiltration or wetting solution injected, viz dry, wet, superwet, and tumescent technique. The tumescent technique is one of the most common liposuction techniques in which large volumes of dilute local anaesthetic (wetting solution) are injected into the fat to facilitate anaesthesia and decrease blood loss. The amount of lignocaine injected may be very large, approximately 35-55 mg/kg, raising concerns regarding local anaesthetic toxicity. Liposuction can be of two types according to the volume of solution aspirated: High volume (>4,000 ml aspirated) or low volume (<4,000 ml aspirated). While small volume liposuctionmay be done under local/monitored anaesthesia care, large-volume liposuction requires general anaesthesia. As a large volume of wetting solution is injected into the subcutaneous tissue, the intraoperative fluid management has to be carefully titrated along with haemodynamic monitoring and temperature control. Assessment of blood loss is difficult, as it is mixed with the aspirated fat. Since most obese patients opt for liposuction as a quick method to lose weight, all concerns related to obesity need to be addressed in a preoperative evaluation.
KEYWORDS: Lignocaine, liposuction, tumescent, wetting solution

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141144/



Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

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