Sattler G, Eichner S
Rosenpark Klinik, Heidelberger Landstraße 18-20, 64297 Darmstadt.
Hautarzt. 2013 Mar;64(3):171-9. doi: 10.1007/s00105-012-2487-8.
Liposuction is the most frequent aesthetic procedure worldwide for adipose tissue reduction and treatment of lipedema. It is being employed with increasing frequency. In 2010, in the USA more than 200.000 liposuctions were performed. Apart from aesthetic indications, liposuction also is suitable for treatment of benign adipose tissue diseases. This intervention is not a simple procedure but requires extensive knowledge and experience to prevent irreversible medical or aesthetic complications. Severe complications including necrotizing fasciitis, toxic shock syndrome, hemorrhage, perforation of inner organs und pulmonary embolism - some even with lethal outcome - occasionally have been reported. These complications were mostly due to inadequate hygiene measures, inappropriate patient selection, use of excessive local anesthesia during mega-liposuction (tumescent technique) and inadequate post-operative surveillance. The complication rate usually reflects a lack of medical experience as well as technical inadequacies.
抽脂术是全球范围内用于减少脂肪组织和治疗脂肪性水肿最常见的美容手术。其应用频率越来越高。2010年，美国进行了超过20万例抽脂手术。除了美容适应症外，抽脂术还适用于治疗良性脂肪组织疾病。这种干预并非简单的手术，而是需要广泛的知识和经验来预防不可逆的医学或美学并发症。曾有报道偶尔出现严重并发症，包括坏死性筋膜炎、中毒性休克综合征、出血、内脏穿孔和肺栓塞——有些甚至导致致命后果。这些并发症大多归因于卫生措施不当、患者选择不当、在大容量抽脂术（肿胀技术）期间使用过量局部麻醉以及术后监测不足。并发症发生率通常反映出缺乏医学经验以及技术不足。
