Hanke C W, Bullock S, Bernstein G
Department of Dermatology, Indiana University Medical Center, Indianapolis 46202-5267, USA.
Dermatol Surg. 1996 Jul;22(7):595-8. doi: 10.1111/j.1524-4725.1996.tb00605.x.
Tumescent liposuction is an extremely safe method of liposuction that can be performed entirely under local anesthesia.
To determine evolving trends in the current practice of tumescent liposuction in 15,336 patients treated by 66 dermatologic surgeons.
A survey questionnaire was sent to 1,778 Fellows of the American Society for Dermatologic Surgery in February 1994. The comprehensive questionnaire requested information on the number of patients treated with tumescent liposuction, complications, and various practice issues.
Sixty-six dermatologic surgeons provided data on 15,336 patients; 44,014 body areas were treated. The complications that developed were infrequent and minor and have been reported previously. The average amount of fat removed per patient was 1,276 cc. An average of 33 cc of blood was lost per patient per procedure. Cannulas of 4.0 mm or less in diameter were commonly used. The abdomen and outer thighs were the most common areas treated in women. The flanks/love handles and abdomen were the most common areas treated in men. Intraoperative monitoring of vital signs was common.
Tumescent liposuction is an evolving technique that has virtually eliminated blood transfusions and the major complications of liposuction under general anesthesia. Large amounts of fat can be removed using small diameter cannulas. The fat can be safely removed with a minimum risk of minor complications.
肿胀吸脂术是一种极其安全的吸脂方法，可完全在局部麻醉下进行。
确定66名皮肤科医生治疗的15336例患者目前肿胀吸脂术的发展趋势。
1994年2月向1778名美国皮肤科外科学会会员发送了调查问卷。这份综合问卷要求提供有关接受肿胀吸脂术治疗的患者数量、并发症及各种操作问题的信息。
66名皮肤科医生提供了15336例患者的数据；共治疗了44014个身体部位。出现的并发症很少且轻微，此前已有报道。每位患者平均吸出脂肪量为1276立方厘米。每次手术每位患者平均失血33立方厘米。通常使用直径4.0毫米及以下的套管。女性最常治疗的部位是腹部和大腿外侧。男性最常治疗的部位是侧腹/腰间赘肉和腹部。术中对生命体征进行监测很常见。
肿胀吸脂术是一种不断发展的技术，几乎消除了输血以及全身麻醉下吸脂的主要并发症。使用小直径套管可以吸出大量脂肪。可以安全地吸出脂肪，出现轻微并发症的风险最小。
