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VASER 抽脂术中体重指数、吸出脂肪量与术后并发症之间的相关性:单中心经验

Correlation between BMI, amount of aspirated fat and post-operative complications in VASER liposuction: A single centre experience.

作者信息

Lanzano Giuseppe, Napoli Filomena, Zannella Teresa, Colucci Roberta, Cantiello Ida, Scalera Giuseppe

机构信息

Plastic and Reconstructive Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy, Piazza Luigi Miraglia, 2, 80138, Napoli.

Scalera Clinic, Via Campania 9, Melito di Napoli, Naples, Italy.

出版信息

JPRAS Open. 2024 Aug 23;42:170-177. doi: 10.1016/j.jpra.2024.08.007. eCollection 2024 Dec.

Abstract

BACKGROUND

Vibration amplification of sound energy at resonance (VASER) liposuction is an innovative technique that allows surgeons to selectively remove fat and shape desired areas of the body, resulting in more precise and controlled outcomes compared to traditional liposuction techniques. VASER liposuction offers several advantages, including targeted action that reduces trauma to the surrounding tissues, limiting pain, swelling and recovery time.

PURPOSE

This study compared the complication rates among patients who underwent VASER liposuction in relation to their body mass index (BMI) and the amount of fat aspirated.

METHODS

The authors reviewed the medical records of all patients who underwent VASER liposuction at Scalera Clinic in Naples, dividing them into two groups: the first with BMI < 24.9 kg/m and second with BMI >25.0 kg/m.

RESULTS

The authors examined 117 patients who were operated on within a year (2022/2023), with 48 of them having BMIs < 24.9 kg/m and 69 showing BMIs >25.0 kg/m. In patients with a BMI >25 kg/m, the most common complications were contusion, hematomas and abnormal skin retraction, whereas no complications were observed in the patients with normal-weight.

CONCLUSIONS

To minimise post-operative complications and maximise results, it is advisable to select patients based on their BMI assessment, the anatomy of the treated body area and the volume of fat to be removed. This approach aims to ensure that the patients are suitable for the procedure and the achieved results align with their aesthetic expectations.

摘要

背景

共振声能吸脂术(VASER 吸脂术)是一种创新技术,使外科医生能够选择性地去除脂肪并塑造身体的理想部位,与传统吸脂技术相比,其结果更精确且可控。VASER 吸脂术具有多项优势,包括靶向作用,可减少对周围组织的创伤,减轻疼痛、肿胀和缩短恢复时间。

目的

本研究比较了接受 VASER 吸脂术的患者中,并发症发生率与他们的体重指数(BMI)及吸出脂肪量之间的关系。

方法

作者回顾了那不勒斯斯卡莱拉诊所所有接受 VASER 吸脂术患者的病历,将他们分为两组:第一组 BMI < 24.9 kg/m²,第二组 BMI > 25.0 kg/m²。

结果

作者检查了 117 例在一年内(2022/2023 年)接受手术的患者,其中 48 例 BMI < 24.9 kg/m²,69 例 BMI > 25.0 kg/m²。BMI > 25 kg/m² 的患者中,最常见的并发症是挫伤、血肿和皮肤异常回缩,而体重正常的患者未观察到并发症。

结论

为了将术后并发症降至最低并使效果最大化,建议根据患者的 BMI 评估、治疗身体部位的解剖结构和要去除的脂肪量来选择患者。这种方法旨在确保患者适合该手术,并且所取得的效果符合他们的美学期望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1e1/11440265/da5e4afd92b6/gr1.jpg

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