Mecott Gabriel A, Cueto-Ramos Rubén G, González-Martínez Adrian, Perez-Trujillo José J, Chacon-Martinez Hernán, de Oca Roberto Montes, Garcia-Perez Mauricio M
From the Department of Plastic Surgery.
Histology Department, Faculty of Medicine, Universidad Autónoma de Nuevo León, San Nicolás de los Garza, Mexico.
Ann Plast Surg. 2020 Nov;85(5):e7-e11. doi: 10.1097/SAP.0000000000002261.
Decantation of the lipoaspirate is one of the most common techniques used to prepare the fat graft. The aim of the study was to determine the ideal time of decantation that provides the best separation of the components without compromising the viability of the adipocytes.
Thirty milliliters of fat were obtained from 11 healthy adults and decanted at room temperature for 0, 30, and 60 minutes. After decantation, the infiltration liquid and the remnant fat were measured with a volumetric pipette. Once the solution was removed, the remnant fat was centrifuged at 3000 rpm for 5 minutes to separate any residual solution, to measure the amount of actual fat obtained at that time point. Viability was determined with trypan blue staining for all the samples.
After decantation, 9.4 ± 0.79 mL of fat was obtained at time 0, whereas 7.7 ± 1.56 mL was obtained at 30 minutes and 6.9 ± 0.92 mL at 60 minutes. Actual fat volume was 6.6 ± 1.56 mL, 5.5 ± 1.39, and 5.26 ± 1.3 mL, respectively. Viability at time 0 was 73.33 ± 0.06%, 72.57 ± 0.1% at 30 minutes, and 59.3 ± 0.09% at 60 minutes (P = 0.004).
The fat grafting, processed by decantation, will have the best performance within a period of 30 minutes after harvesting, where the best rate of viability and separation of components will be achieved.
脂肪抽吸物的倾析是制备脂肪移植物最常用的技术之一。本研究的目的是确定理想的倾析时间,以实现成分的最佳分离,同时不损害脂肪细胞的活力。
从11名健康成年人身上获取30毫升脂肪,并在室温下倾析0、30和60分钟。倾析后,用容量吸管测量浸润液和残余脂肪的量。去除溶液后,将残余脂肪以3000转/分钟的速度离心5分钟,以分离任何残留溶液,测量该时间点获得的实际脂肪量。对所有样本用台盼蓝染色法测定活力。
倾析后,0分钟时获得9.4±0.79毫升脂肪,30分钟时获得7.7±1.56毫升,60分钟时获得6.9±0.92毫升。实际脂肪体积分别为6.6±1.56毫升、5.5±1.39毫升和5.26±1.3毫升。0分钟时的活力为73.33±0.06%,30分钟时为72.57±0.1%,60分钟时为59.3±0.09%(P=0.004)。
通过倾析处理的脂肪移植在收获后30分钟内性能最佳,此时将实现最佳的活力率和成分分离。