Manual lymphatic drainage and therapeutic ultrasound in liposuction and lipoabdominoplasty post-operative period

Masson, Igor Fagioli Bordello; Oliveira, Bruna de Alvarenga; Machado, Aline Fernanda Perez; Farcic, Thiago Saikali; Júnior, Ivaldo Esteves; Baldan, Cristiano Schiavinato

doi:10.4103/0970-0358.129627

Cited by 15 publications

(12 citation statements)

References 16 publications

(39 reference statements)

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“…The burst of therapeutic ultrasounds is aimed at forcing the exit of SARS-CoV-2 from reservoirs or sanctuaries at the same time mechanically disrupting its molecular structures; during the following respiratory cycle, the virus and its debris would be removed by the flow of CSF and then the cycle could be repeated. In addition, it has to be considered that transcranial ultrasounds show anti-inflammatory and anti-edema effects (Zheng et al, 2020), and ultrasounds may favor CSF drainage in analogy with their known effects on lymphatic drainage (Masson et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

Application of Ultrasonography to Neuro-COVID-19

Ruggiero¹

2022

Preprint

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Aim: The aim of this study is to evaluate the role of ultrasonography in diagnosis and treatment of COVID-19, the disease caused by severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2), with particular reference to the symptoms that are frequently observed in Neuro-COVID-19, a term that indicates the plethora of short- and long-term neurologic and psychiatric manifestations caused by, or associated with the disease. In a significant percentage of cases, neuro-psychiatric symptoms persist after recovery and long-term sequelae have been reported. SARS-CoV-2 can infect the brain through different routes and the damage can be direct, that is due to the virus itself, or indirect, that is associated with abnormal immune responses, inflammation, and hypoxia. Methods: In this study, the brain was studied by transcranial ultrasonography. Analysis of brain specimens obtained from autopsy demonstrated the presence of the virus in a minority of cases and this leads to hypothesize that SARS-CoV-2 may hide in sanctuary sites in the central nervous system in analogy with what observed for HIV. The existence of sanctuary sites for SARS-CoV-2 has the potential to decrease the efficacy of antiviral therapies or vaccination and may even prevent complete eradication of SARS-CoV-2 from the infected organism. Results: Transcranial ultrasonography demonstrated significant movements of the brain associated with the respiratory cycle. In 2017, a diagnostic and therapeutic procedure was proposed with the goal of identifying and treating pathogens hiding in sanctuaries that elude diagnosis and therapy. This procedure is based on clinical evaluation, diagnostic ultrasonography, therapeutic ultrasounds, and laboratory analyses. Conclusions: Here, it is demonstrated that application of transcranial ultrasonography to Neuro-COVID-19 requires a specific adaptation that takes into account brain movements synchronous with breathing as well as the sensitivity of SARS-CoV-2 to ultrasounds.

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Section: Resultsmentioning

confidence: 99%

Application of Ultrasonography to Neuro-COVID-19

Ruggiero¹

2022

Preprint

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“…Therapeutic ultrasound is used every third day for a month. 10 Manual lymphatic drainage 10 started during the third to fourth week according to the tolerance of the patient.…”

Section: Methodsmentioning

confidence: 99%

“…5 Multiple authors have made changes and contributions to improve results and safety. [6][7][8][9][10][11][12][13][14] In this article, we analyze the evolution that the surgical technique has had in our hands during this time, pointing out the processes that we continue and those that we have changed to improve the results and perform this procedure as safely as possible.…”

mentioning

confidence: 99%

Lipoabdominoplasty: What We Have Implemented and What We Have Modified over 26 Years

Cárdenas-Camarena

Reyes-Herrera

Vargas-Flores

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Lipoabdominoplasty is one of the most commonly performed procedures in body-contouring surgery. We present a retrospective study of our 26 years of experience to improve the results and assure the greatest possible safety in lipoabdominoplasty. We include all of our female patients who underwent lipoabdominoplasty performed from July 1996 to June 2022, dividing the patients into two groups: group I underwent circumferential liposuction avoiding abdominal flap liposuction for the first 7 years, and group II underwent circumferential liposuction including abdominal flap liposuction for the subsequent 19 years, pointing out the differences in the processes, results, and complications of both groups. Over a period of 26 years, 973 female patients underwent lipoabdominoplasty: 310 in group I and 663 in group II. Ages were very similar; however, weight, BMI, amount of liposuction material, and weight of the abdominal flap removed were higher in group I. Twenty percent of patients in group I were obese compared to 7% in group II. The average amount of liposuction in group I was 4990 mL compared to 3373 mL in group II and 1120 g of abdominal flap in group I versus 676 g in group II. Minor and major complications were 11.6% and 1.2% in group I versus 9.2% and 0.6% in group II, respectively. In our more than 26 years of performing lipoabdominoplasty, we have maintained most of our initial procedures. These processes have allowed us to perform surgery safely and effectively with a low morbidity rate.

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“…Patients are allowed to rest (they were able to wander, go to the bathroom, and feed themselves) during the hospitalization time and thereafter scheduled for lymphatic drainage massages from a trained physiotherapy personnel as part of our protocol to reduce the risk of fibrosis, seromas, and pain. 16 The drainage system is removed on postoperative day 7 by trained personnel.…”

Section: Lower-back Sculpture and Fat Grafting In The Thoracic Longis...mentioning

confidence: 99%

Echo-guided Lower-back Sculpture and Volumization as a Complement to High-definition Liposuction (XPINE-FAT)

Cipriani¹,

Viaro²,

Adrianzen

2022

Plastic and Reconstructive Surgery - Global Open

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Background: Knowledge about lower-back aesthetics is very limited, especially regarding surgical techniques that improve its appearance. Thus, this study aimed to describe a high-definition liposuction technique with intramuscular grafting of erector spinae muscles (longissimus). Methods: A total of 15 female patients 25-48 years of age were recruited between November 2021 and January 2022, who underwent body contouring surgery and subsequently underwent a low-back lipodefinition and echo-guided intramuscular erector spinae (longissimus) fat graft to complement the procedure. As part of the study, measurements were performed before surgery and in the immediate postoperative period. The data were stored in a database and analyzed with the SPSS Version 25 statistical software. Results: The patients' ages ranged from 25 to 48 years (mean: 37 years), with a body mass index of 18.6-29.3 (mean: 25.5). The surgical times ranged between 1 and 8 hours (mean: 3.73 hours); hospitalization times were 0.7-1 days (mean: 0.940 days). Lipograft was performed on the erector spinae muscles (longissimus), the right one with a range of 20-60 cm 3 (mean: 43.33 cm 3 ) and percentage increase of 65.3% (P < 0.0001). Regarding the left erector, similar volumes between 20 and 60 cm 3 (mean: 44.67 cm 3 ) were grafted with a percentage increase of 66.4% (P < 0.0001). Conclusions: XPINE-FAT is a safe technique that allows an increase in the immediate intramuscular thickness of the erector spinae muscles (longissimus). We observed no adverse events during the study.

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Manual lymphatic drainage and therapeutic ultrasound in liposuction and lipoabdominoplasty post-operative period

Cited by 15 publications

References 16 publications

Application of Ultrasonography to Neuro-COVID-19

Application of Ultrasonography to Neuro-COVID-19

Lipoabdominoplasty: What We Have Implemented and What We Have Modified over 26 Years

Echo-guided Lower-back Sculpture and Volumization as a Complement to High-definition Liposuction (XPINE-FAT)

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