Perforation of Viscera, a Dramatic Complication of Liposuction

Zakine, G.; Baruch, J; Dardour, Jean-Claude; Flageul, G

doi:10.1097/prs.0000000000001030

Cited by 43 publications

(28 citation statements)

References 13 publications

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“…17,18 The optimal vascular pedicle length and diameter of the flap 19 facilitated intraoral anastomosis in this case. Rarely, donor-site morbidity can cause gait disturbances, 20 which did not occur in this case. The discreetly hidden donor-site scar constitutes a definite advantage of the DCIA flap.…”

Section: Discussionmentioning

confidence: 64%

Zygomatico-maxillary Reconstruction with Computer-aided Manufacturing of a Free DCIA Osseous Flap and Intraoral Anastomoses

Roy

Efanov

Mercier-Couture

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Summary:Craniomaxillofacial reconstruction using virtual surgical planning, computer-aided manufacturing, and new microsurgical techniques optimizes patient-specific and defect-directed reconstruction. A 3D customized free deep circumflex iliac artery (DCIA) flap with intraoral anastomoses was performed on a 23-year-old man with a posttraumatic right zygomatico-maxillary defect with failure of alloplastic implant reconstruction. An osseous iliac crest flap was sculpted based on a customized 3D model of the mirror image of the patient’s unaffected side to allow for perfect fit to the zygomatico-maxillary defect. An intraoral dissection of the facial artery and vein was performed within the right cheek mucosa and allowed for end-to-end microvascular anastomoses. 3D preoperative planning and customized free DCIA osseous flap combined with an intraoral microsurgical technique provided restoration of facial esthetics and function without visible scars. In cases where zygomatico-malar reconstruction by alloplastic material fails, a customized free DCIA osseous flap can be designed by virtual surgical planning to restore facial appearance and function.

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Section: Discussionmentioning

confidence: 64%

Zygomatico-maxillary Reconstruction with Computer-aided Manufacturing of a Free DCIA Osseous Flap and Intraoral Anastomoses

Roy

Efanov

Mercier-Couture

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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“… 6 The incidence of abdominal perforation and visceral damage secondary to liposuction is unclear, and it is therefore important to avoid these complications during surgical procedures. 28 , 29 Perforation of the ileum is the most common, followed by perforation of the jejunum and spleen and, to a lesser extent, the transverse colon, cecum, and sigmoid colon. 30 , 31 Factors inherent to the patient may be due to wall defects because of previous abdominal surgeries, diastasis, hernia, obesity, and other factors.…”

Section: Discussionmentioning

confidence: 99%

“…During the surgical procedure, the most important task of the surgeon is to control the cannula, for both infiltration and aspiration, 28 , 29 always in a tangential direction and with both tactile and visual control. It is very important to monitor the patient in the first postoperative hours because early diagnosis is vital for the successful treatment of this complication.…”

Section: Discussionmentioning

confidence: 99%

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Strategies for Reducing Fatal Complications in Liposuction

Cárdenas-Camarena¹,

Gerardo

Durán³

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Background:Liposuction has become one of the most common cosmetic surgical procedures, and severe complications secondary to this procedure have also increased significantly. That is why we carry out a research work to know the most frequent severe complications reported in the scientific literature to indicate criteria for prevention.Methods:English-language scientific publications about liposuction and its complications were analyzed using the PubMed.gov, from the beginning of PubMed's history through June 10, 2017. Five terms were used to define liposuction and its complications: "liposuction," "liposuction AND complications," liposuction AND major complications," "liposuction AND complications AND death," and "liposuction AND death." The quantities of results for the 5 phrases were analyzed, along with their contents.Results:One thousand sixty-three results were obtained from 1973 through June 10, 2017 for the phrase "Liposuction and Complications" in humans; for "Liposuction and Major Complications," 153 articles were found; for "Liposuction and Deaths," 89 articles were found; and 42 articles were obtained with the terms "Liposuction and Major Complications and Deaths." After final depuration, all those that were not specific to severe liposuction complications were eliminated, leaving a total of 39 articles that were included in our study. Five problems proved to be the most serious complications when performing liposuction: Thromboembolic disease, fat embolism, pulmonary edema, lidocaine intoxication, and intraabdominal visceral lesion.Conclusions:The 5 most important complications that can cause death in liposuction are easily preventable using simple measures and proper safety protocols that are described in this work.

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“…This tool has been used to screen patients for abdominal wall defects before liposuction or abdominoplasty. 31 , 32 It has been used to evaluate repairs of the rectus abdominis diastasis, and for seroma management. 33 – 37 Hand surgeons have found numerous applications, such as visualizing tendons and foreign bodies of the upper extremities and guiding injections.…”

Section: Introductionmentioning

confidence: 99%