Fatal and Near-Fatal Complications of Liposuction

Barillo, David J.; Cancio, Leopoldo C.; Kim, Seung; Shirani, Khan Z.; Goodwin, Cleon W.

doi:10.1097/00007611-199805000-00018

Cited by 72 publications

(34 citation statements)

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“…They did not have any significant adverse effects or complications associated with this technique. However, several reports of major complications like pulmonary thromboembolism [1,19], necrotizing fasciitis [3,7], fat embolism [5,16], and death [4,10,14] are also found in the literature. Studies focusing on severe adverse effects described mortality rates ranging from 0.003 to 0.02% [4,5,13].…”

Section: Discussionmentioning

confidence: 99%

“…This tissue can then be extracted using relatively low suction with less morbidity for the patient. Several studies have attempted to evaluate these techniques, looking at the incidence of complications and patient satisfaction [3][4][5][6][7][8][9][10]. However, the number of patients involved in these studies is low, and both objective and subjective data evaluating patient satisfaction and quality of life is lacking.…”

Section: Introductionmentioning

confidence: 99%

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Clinical outcome and long-term follow-up after liposuction procedures

et al. 2006

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Liposuction is one of the most common aesthetic procedure used in plastic surgery. Reports are available on the results, the probable complications, and the feedback of patients. However, systematic studies dealing with these aspects using reliable large-enough data are still needed. The data comprised 116 procedures during a 6-year period up to 2005. The data were processed and categories of results were formed. Furthermore, a follow-up examination and a survey on the feedback of patients were carried out. Significant differences were identified in indications, results, and complications. The follow-up examinations and the survey showed satisfying results. In the majority of cases, surgeons were satisfied with the operations. In conclusion, if conducted by qualified surgeons in appropriate surgical conditions and postoperative care possibilities, liposuction may be considered as a reliable surgical procedure. The success of this procedure depends, however, on suitable infrastructure and operative competence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical outcome and long-term follow-up after liposuction procedures

et al. 2006

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“…6 Acute allergic reaction can also occur, especially due to tumescent fluid containing lidocaine. 7 Trauma-related complications to nerves have been described, with nerve injury to lateral cutaneous nerve of the thigh and facial nerve. 6 On occasion, parasthesia and hyperaesthesia may persist for several months.…”

Section: Discussionmentioning

confidence: 99%

“…Minor and major complications include necrotising fasciitis, toxic shock syndrome (usually with skin commensals Staphylococcus aureus, Streptoccus pyogens and beta haemolytic streptococcus, which have all been reported as near fatal complications of liposuction). [7][8][9] Major non fatal complications can occur in 0.14-0.38% of cases and include anaesthetic complications, deep venous thrombosis, pulmonary embolism and fat embolism. 1,3 Intraoperative acute fluid imbalance may cause acute renal failure, pulmonary oedema or cardiac failure and intraoperative cardiac arrest.…”

Section: Discussionmentioning

confidence: 99%

Splenic trauma during abdominal wall liposuction: a case report

2008

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SummaryA 35-year-old woman collapsed 18 hours after undergoing abdominal wall liposuction. Abdominal CT scan revealed a punctured spleen. She underwent an emergency splenectomy and made an uneventful recovery. Case reportA 35-year-old woman presented to plastic surgeons with increased adiposity in the lower trunk and upper thigh. She did not have any significant past medical or surgical history and was not taking any regular medications. Her preoperative haemoglobin level was 11.2 g/dL. She underwent abdominal wall and upper thigh tumescent liposuction through suprapubic and lateral abdominal wall stab incisions under general anaesthetic. She made an uneventful initial recovery from the anaesthetic and slept pain-free throughout the first night. Sixteen hours hours after surgery she complained of acute onset of severe generalized abdominal pain and abdominal distension and collapsed. On examination she had marked pallor and class II hypovolaemic shock. She responded to initial fluid resuscitation.She was transferred to an acute general surgery hospital. On admission she was noted to have marked pallor, severe hypovolaemic shock (class III) and a tense distended abdomen. The general surgery and anaesthetic team were paged as an emergency within five minutes of the patient arriving. She had superficial abdominal bruising at the site of liposuction and mild diffuse abdominal tenderness. There was no abdominal guarding or signs of peritonism present. The bowel sounds were reduced and digital rectal examination was normal. Her blood results revealed haemoglobin level of 3.6 g/dL. She made a moderate recovery to aggressive fluid resuscitation. She was urgently transfused six units of whole blood, type specific blood was given within 15 minutes, followed by cross-matched blood within one hour. After initial resuscitation her blood pressure was stable at 110/60. Her repeat haemoglobin level was 10.6 g/dL. She continued to have persistent tachycardia, with a pulse rate of 110 bpm.A rapid Focused Abdominal Sonography for Trauma (FAST) abdominal ultrasound scan was performed within 30 minutes, first by the emergency department consultant, then by the radiology specialist registrar. The FAST scan was positive for intra-abdominal fluid; the source of bleeding could not be identified, however, as the scan was difficult to interpret due to the recent liposuction. A computed tomography (CT) scan was done within a hour of the ultrasound scan. It showed a large volume of free intraperitoneal fluid in perihepatic space, paracolic gutters and pelvis. The spleen was displaced medially with heterogeneous haematoma seen laterally with active contrast extravasation indicating persistent bleeding. The haemorrhage was extraperitoneal but deep to the abdominal wall musculature (Figure 1).As the patient had continuing abdominal distension and pain she underwent an emergency laparotomy within 4 hours of arriving in the resuscitation room. Perioperatively, she received six units of packed red cells, three units of fresh frozen plasma, one un...

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“…Kasuistiken über schwere Komplikationen mit Bauchwandperforationen und Entwicklung nekrotisierender Faszitiden sind mit zunehmender Häufig-keit in der Literatur beschrieben [1,7,12,23,25,30].…”

Section: Berichtete Komplikationenunclassified

Liposuktion?kein Problem?

et al. 2003

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Subcutaneous liposuction in tumescent technique is the most frequent aesthetic plastic procedure in the United States. In Germany, nearly 250,000 liposuctions are done per year by a variety of surgical and nonsurgical specialists including plastic surgeons, dermatologists, gynecologists, oral surgeons, and otolaryngologists in settings ranging from hospital operating rooms to physicians' offices. The method is applied and promoted as an easy-to-learn technique that is suited as an outpatient procedure. Although major complications seem to be rare, there are definite risks, including death at a rate of 1/5,000 procedures. Major risk factors are insufficient hygiene standards, multiliter wetting solution infiltration, megavolume aspiration, multiple cosmetic procedures in one setting, sedative and anesthetic drug hangover threatening ventilation, permissive postoperative discharge, and mistakes in patient selection. When major complications occur, office-based practitioners may refer patients to hospital emergency departments, where medical personnel unfamiliar with this procedure may underestimate the risk of major complications.

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Fatal and Near-Fatal Complications of Liposuction

Cited by 72 publications

References 0 publications

Clinical outcome and long-term follow-up after liposuction procedures

Clinical outcome and long-term follow-up after liposuction procedures

Splenic trauma during abdominal wall liposuction: a case report

Liposuktion?kein Problem?

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