Liposucción con diodo láser 980-nm (LSDL 980-nm): optimización de protocolo seguro en cirugía de contorno corporal

Abstract

ResumenLa disponibilidad en el mercado de una gran gama de equipos de láser de diferentes potencias y longitudes de onda para su aplicación en el tejido graso, así como la existencia de diversos trabajos científicos sobre el tema con resultados opuestos, han causado gran confusión y dudas sobre la téc-nica de láser-lipolisis entre los cirujanos plásticos.Presentamos un protocolo quirúrgico de liposucción con diodo-láser de 980-nm (LSDL 980-nm) aplicado en 240 pacientes. Evaluamos la seguridad de la técnica según el ín-dice de complicaciones sufrido, así como la evolución en el post-operatorio de los pacientes tratados. Empleamos un equipo diodo-láser-980 nm (ORlight ®), cuya energía llevamos a través de una fibra de 600 µm. Esto se traduce en la aplicación de 99 J por cada cm 2 de área tratada, con un espesor de hasta 4 cm de tejido adiposo subcutáneo. No tuvimos complicaciones mayores, tipo quemaduras y entre las complicaciones menores, que fueron de un 48.33% (116 pacientes), encontramos equímosis mínimas (menos del 2% de superficie corporal). El tiempo que los pacientes requirieron para controlar el dolor postoperatorio fue de entre 1 y 2 días.Consideramos importante la incorporación de la LSDL-980 nm por ser una técnica menos traumática y con bajo índice de complicaciones, que reduce el periodo de recuperación de los pacientes, provoca una importante retracción de la piel y disminuye el dolor postoperatorio.Palabras clave Liposucción, Lipoláser, Láser, Láser Diodo 980-nm, Lipolisis, Lipoabdominoplastía. Código numérico 46-1545 AbstractThe availability of multiple laser systems on the market with different power and wavelengths and the existence of several scientific papers with contradictory presents, have created great confusion and doubts among plastic surgeons with regard to the laser lipolysis technique. We report a surgical protocol for liposuction diode laser-980 nm (LSDL-980 nm) applied to 240 patients. We evaluate the security of the technique according to the complication rate and the postoperative development of patients submitted to the technique We use a diode laser-980 nm (ORlight®), transporting its energy through a 600 µm fiber. This concludes in the aplication of 99 J per cm 2 of treated area with a width of until 4 cm of subcutaneous adipose tissue. All the complications were considered minor or nonexistent. Within the minor complications that were 48.33% (116 patients) most cases presented minimum echymosis (less than 2% of the body surface). The time required to control pain was between 1 and 2 days, depending on the procedure.We consider important to incorporate the LSDL 980-nm in clinical practice because it is a less traumatic technique with a low rate of minor complications, significant skin retraction, short recuperation period and less postoperative pain Key wordsLiposuction, Lipolaser, Laser, Diode Laser, Lipolysis, Lipoabdominoplasty. Numeral Code 46-1545Centurión, P.Liposucción con diodo láser 980-nm (LSDL 980-nm): optimización de protocolo seguro en cirugía de contorno corporal B...

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