Liposuction

Abstract

Advent of the tumescent technique in 1987 has allowed for safe contouring in ambulatory single session liposuction under regional or general anaesthesia. Safety and aesthetic issues define MegaLiposuction to be in Volume in litres of more than 10% of Body weight in Kgs. 870 cases of liposuction were performed between September 2000 and August 2008. In (65%) cases, the total volume of aspirate was greater then 5 liters. (Range: 5 to 25 liters). In 24% cases, the large volume liposuction was combined with a limited or a total block lipectomy. Regional anaesthesia with conscious sedation was preferred except where liposuction was for above the subcostal region (the Upper Trunk, Lateral Chest, Back, Gynaecomastia, Breast, Arms and Face) or when the patient so desired. Tumescent infiltration with Lactated ringer, adrenalin, triamcinalone and hyalase was made in all cases. This approach has clinically shown less tissue edema in the post operative period than when the conventional physiological saline was being used in place of Ringer Lactate. The amount injected varied from 1,000 ml to 12,500 ml depending on the size, site and area. Local anesthetic was included only to the terminal portion of the tumescent mixture while infiltrating the sub-costal regions, or when above costal region was combined with below costal region being anaesthetized with Spinal Anaesthesia. The aspirate was restricted to the unstained white / yellow fat and the amount of fat aspirated did not have any bearing to the amount of solution infiltrated. There was no major complication. Blood transfusion was given only on one occasion when the patient had been on aspirin and had also received Low Molecular weight Heparin intra-operative. The hospital stay ranged from 8 to 24 hours for liposuction as well as for liposuction with a lipectomy. Serous discharge from access sites, sero-sanguinous fluid accumulation requiring drainage were necessitated in less than 10% cases. Minor re-contouring touch ups were requested in 5% cases. Early ambulation was encouraged for mobilization of third space fluid shifts to expedite recovery and to prevent deep vein thrombosis. More than 10% patients were operated on for Liposuction of other areas, after a gap of 7 days to 6 months. Meticulous perioperative monitoring of systemic functions ensures safety in tumescent megaliposuction for the obese and rewarding results can be achieved in a single sitting.

Particular Qualities of the Treatment in Pre-School Age Children Sensitized to House Dust Mites Allergen

“…The efficacy of ASIT in the treatment of allergic diseases of adults and children has been proven and it is represented by the results of numerous randomized double-blind placebo-controlled studies which have resulted in the issuance of the corresponding European and international guidelines [3,11]. But the treatment of children with the use of immunotherapy methods is being discussed [5,9,10,13].…”

Permeación en piel humana de una nanoemulsión de ftalocianina de aluminio clorada para la optimización de tratamientos tópicos de leishmaniasis cutánea

“…Inicialmente se evaluaron las características fisicoquímicas de las formulaciones y la estabilidad del compuesto. Es conocido que una formulación apta para ser utilizada en TFD debe garantizar que sus compontes (tales como tensoactivos, vehículos, solventes) mantengan intactas las propiedades fotofísicas del sensibilizador para que este pueda ser estimulado eficientemente con la luz y genere radicales de oxígeno tóxicos para el blanco terapéutico deseado (12,31,32). En este trabajo, la concentración de PcAlCl fue estable en el tiempo, los espectros de emisión y absorción de PcAlCl en las formulaciones proporcionaron información importante con respecto al estado agregado o monomérico en el que se encontraban las moléculas de PcAlCl en la nano-PcAlCl y la solución-PcAlCl.…”

“…Como se esperaba, la PcAlCl presentó un espectro diferente en solventes acuosos. Según Dhami y Nunes (31,33), la PcAlCl, como resultado de su esqueleto hidrofóbico, presenta tendencia a la formación de dímeros cuando se encuentra en medios acuosos. En PBS-SDS 2 %, algunas de las moléculas de PcAlCl se muestran en estado asociado, probablemente como dímeros apilados, lo que origina la formación de dos bandas en el espectro de emisión.…”

Ultrasound‐guided lipoaspiration for mesenchymal stromal cell harvest in the horse

“…When this occurs the authors generally discontinue lipoaspiration on that side. Post operatively, the portal holes are left open to heal by second intention to allow drainage of any tumescent fluid left behind after aspiration post operatively (Dhami 2008;Venkataram 2008). Mild serosanguinous drainage is normal and expected for 2-3 days.…”