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大容量抽脂术和抽脂腹部整形术中失血估计的新方法。

New Method of Estimation of Blood Loss During Large-volume Liposuction and Lipoabdominoplasty.

作者信息

Almansory Amer Salman, Habash Ula Abd Al-Hussain

机构信息

From the Department of Surgery, Plastic Surgery Unit, College of Medicine, University of Basra, Basrah, Iraq.

Department of Surgery, Plastic Surgery Unit, Alsayab Teaching Hospital, Basrah, Iraq.

出版信息

Plast Reconstr Surg Glob Open. 2025 Sep 26;13(9):e7035. doi: 10.1097/GOX.0000000000007035. eCollection 2025 Sep.

DOI:10.1097/GOX.0000000000007035
PMID:41018745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12466909/
Abstract

BACKGROUND

Liposuction and/or abdominoplasty is one of the most common procedures in plastic surgery. Safety is a primary concern for both patients and surgeons. In this study, we aimed to more accurately estimate perioperative blood loss to prevent and manage early decreases in hemoglobin percentage (HB%).

METHODS

A prospective study was conducted between March 2022 and March 2024, involving 12 patients, both men and women, who underwent liposuction and/or abdominoplasty under general anesthesia. Samples were taken from aspirated fluid, fat, and drain, and a manual hematocrit calculation method was used. The volume of blood in the lipoaspirate was calculated based on the loss in the supernatant, fat, and drain fluids. Blood was replaced according to the study formula. Patients were assessed for postoperative decreases in HB% and stability of vital signs.

RESULTS

The mean aspirate volume was 7400 mL, with a nontrivial volume of blood loss, and the mean postoperative decrease in HB% was 1.8 g/dL. After correcting for blood loss through transfusion according to the study formula, all patients were vitally stable, with no postural hypotension and normal pulse rates.

CONCLUSIONS

This study introduced a new method for intraoperative hematocrit calculation of blood loss in large-volume liposuction, allowing for accurate estimation of the volume of blood loss that may need to be replaced. This method improves the safety of the procedure, predicts postoperative decreases in HB%, and supports the decision to continue or halt the procedure safely.

摘要

背景

抽脂术和/或腹壁成形术是整形外科最常见的手术之一。安全性是患者和外科医生共同关注的首要问题。在本研究中，我们旨在更准确地估计围手术期失血量，以预防和处理血红蛋白百分比（HB%）的早期下降。

方法

2022年3月至2024年3月进行了一项前瞻性研究，纳入12例接受全身麻醉下抽脂术和/或腹壁成形术的患者，男女均有。从吸出物、脂肪和引流液中取样，并采用手工红细胞压积计算方法。根据上清液、脂肪和引流液中的损失量计算抽脂吸出物中的血量。根据研究公式进行血液置换。评估患者术后HB%的下降情况和生命体征的稳定性。

结果

平均吸出量为7400 mL，失血量不少，术后HB%平均下降1.8 g/dL。根据研究公式通过输血纠正失血量后，所有患者生命体征稳定，无体位性低血压，脉搏率正常。

结论

本研究介绍了一种在大容量抽脂术中计算术中失血量红细胞压积的新方法，能够准确估计可能需要置换的失血量。该方法提高了手术的安全性，预测术后HB%的下降情况，并支持安全决定继续或停止手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/190952636717/gox-13-e7035-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/b85660dd5387/gox-13-e7035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/dfe90ef75896/gox-13-e7035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/2db3b95a621b/gox-13-e7035-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/724d142669e7/gox-13-e7035-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/153de4445bef/gox-13-e7035-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/c825ec69b651/gox-13-e7035-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/190952636717/gox-13-e7035-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/b85660dd5387/gox-13-e7035-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/dfe90ef75896/gox-13-e7035-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/2db3b95a621b/gox-13-e7035-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/724d142669e7/gox-13-e7035-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/153de4445bef/gox-13-e7035-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/c825ec69b651/gox-13-e7035-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80a9/12466909/190952636717/gox-13-e7035-g007.jpg

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