Jewell Mark Laurence, Fodor Peter Bela, de Souza Pinto Ewaldo Bolivar, Al Shammari Mussab Abdulrahman
Aesthet Surg J. 2002 Mar;22(2):131-46. doi: 10.1067/maj.2002.123377.
Although lipoplasty is the most frequently performed aesthetic surgical procedure, ultrasound-assisted lipoplasty (UAL) has not been widely adopted because of its increased potential for complications, complex and bulky instrumentation, additional cost, and steep learning curve.
We report on the use of the VASER ultrasound device in lipoplasty procedures and compare the clinical outcomes obtained by means of VASER-assisted lipoplasty with those of other UAL devices.
A superwet technique was used, and the wetting solution was uniformly distributed in the intended treatment area. Skin protection measures included use of specially designed skin ports to protect the incision edges and wet towels adjacent to the port locations. Access incisions were 3 to 4 mm in length. The VASER device was used in VASER (pulsed ultrasound) mode by 2 investigators (P.B.F. and M.L.J.); the continuous ultrasound mode was used by these investigators only if tissue emulsification was not readily achieved by using the VASER mode. A third investigator (E.B.d.S.P.) primarily used the continuous mode. Effective fat fragmentation in either mode was achieved by a maximum of 1 minute of treatment time per 100 mL of infused wetting solution.
In a series of 77 patients treated by 3 different clinicians, satisfactory results were obtained with no major complications. This contrasts with an incidence of complications of 7.9% (median, 4.9%) for first- and second-generation UAL devices as determined by statistical analysis of the literature.
The initial clinical experience with VASER-assisted lipoplasty indicates that it is a safe and efficient technique for body-contouring surgery. (Aesthetic Surg J 2002;22:131-146.).
尽管脂肪抽吸术是最常施行的美容外科手术，但超声辅助脂肪抽吸术（UAL）尚未被广泛采用，因为其并发症风险增加、仪器复杂笨重、成本增加以及学习曲线陡峭。
我们报告VASER超声设备在脂肪抽吸术中的应用，并将VASER辅助脂肪抽吸术的临床结果与其他UAL设备的结果进行比较。
采用超湿技术，将湿润液均匀分布在预期治疗区域。皮肤保护措施包括使用专门设计的皮肤端口来保护切口边缘以及端口位置附近的湿毛巾。切口长度为3至4毫米。两名研究者（P.B.F.和M.L.J.）以VASER（脉冲超声）模式使用VASER设备；仅在使用VASER模式不易实现组织乳化时，这些研究者才使用连续超声模式。第三名研究者（E.B.d.S.P.）主要使用连续模式。每100毫升注入的湿润液最多治疗1分钟，即可在两种模式下实现有效的脂肪破碎。
在由3名不同临床医生治疗的77例患者系列中，获得了满意的结果，无重大并发症。这与通过对文献的统计分析确定的第一代和第二代UAL设备7.9%（中位数，4.9%）的并发症发生率形成对比。
VASER辅助脂肪抽吸术的初步临床经验表明，它是一种用于身体塑形手术的安全有效的技术。（《美容外科杂志》2002年；22:131 - 146。）
