Albanese Roberta, Blessent Claudio Gio Francesco, Tomaselli Federica, De Santis Giorgio, Pinto Valentina, Pinelli Massimo, Buccheri Ernesto Maria, Tambasco Damiano
Plastic Surgery Unit, San Carlo of Nancy Hospital, GVM Care and Research Group, 00185 Rome, Italy.
Department of Plastic and Reconstructive Surgery, Ospedale Santa Maria della Misericordia, 33100 Udine, Italy.
J Clin Med. 2025 Apr 2;14(7):2426. doi: 10.3390/jcm14072426.
Medial thighplasty is a widely performed body contouring procedure, particularly in patients with massive weight loss. Despite advancements in surgical techniques, complications remain a significant concern. The integration of liposuction into thigh lift procedures has shown promise in improving both aesthetic and functional outcomes while reducing risks. This review aims to assess the role of liposuction in medial thighplasty by evaluating its impact on surgical outcomes and complications. : This systematic review was conducted following PRISMA guidelines. A comprehensive search was performed in the MEDLINE/PubMed database using predefined keywords. A total of 52 records were identified, of which 19 studies met the inclusion criteria, encompassing 1113 patients who underwent liposuction-assisted medial thighplasty. Two independent reviewers screened and selected the studies, resolving discrepancies through discussion or consultation with a third reviewer. Data on surgical techniques, complications, and outcomes were extracted and analyzed. Statistical comparisons were performed using the Chi-square test, with significance set at < 0.05. The incorporation of liposuction significantly reduced the overall complication rate (36.75% vs. 70.68%, < 0.001). Specific complications, including infections (1.77% vs. 9.02%), hematomas (1.30% vs. 6.77%), and seromas (8.95% vs. 24.81%), were markedly lower in the liposuction group. : Liposuction appears to reduce complication rates and improve surgical outcomes in medial thighplasty. Further standardization of techniques and additional research on advanced liposuction technologies are necessary to refine this surgical approach and optimize patient outcomes.
大腿内侧整形术是一种广泛开展的身体塑形手术，尤其适用于体重大幅减轻的患者。尽管手术技术有所进步，但并发症仍是一个重大问题。将抽脂术纳入大腿提升手术已显示出在改善美学和功能效果的同时降低风险的前景。本综述旨在通过评估抽脂术对手术效果和并发症的影响来评估其在大腿内侧整形术中的作用。：本系统综述按照PRISMA指南进行。使用预定义关键词在MEDLINE/PubMed数据库中进行了全面检索。共识别出52条记录，其中19项研究符合纳入标准，涵盖1113例行抽脂辅助大腿内侧整形术的患者。两名独立 reviewers 筛选并选择了这些研究，通过与第三位reviewer讨论或协商解决差异。提取并分析了有关手术技术、并发症和效果的数据。使用卡方检验进行统计学比较，显著性设定为<0.05。抽脂术的纳入显著降低了总体并发症发生率（36.75%对70.68%，<0.001）。抽脂组的特定并发症，包括感染（1.77%对9.02%）、血肿（1.30%对6.77%）和血清肿（8.95%对24.81%）明显更低。：抽脂术似乎可降低大腿内侧整形术的并发症发生率并改善手术效果。需要进一步规范技术并对先进抽脂技术进行更多研究，以完善这种手术方法并优化患者预后。 （注：文中reviewers未找到准确对应中文词汇，暂保留英文）
