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https://www.readbyqxmd.com/read/27622097/tumescent-liposuction-without-lidocaine
#1
Joshua J Goldman, Wei Z Wang, Xin-Hua Fang, Shelley J Williams, Richard C Baynosa
BACKGROUND: Our previous study demonstrated that lidocaine has a negative impact on adipose-derived stem cell (ASC) survival. Currently for large-volume liposuction, patients often undergo general anesthesia; therefore, lidocaine subcutaneous anesthesia is nonessential. We hypothesized that removing lidocaine from tumescent might improve stromal vascular fraction (SVF) and ASC survival from the standard tumescent with lidocaine. Ropivacaine is also a commonly used local anesthetic. The effect of ropivacaine on ASC survival was examined...
August 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27404478/re-functional-and-therapeutic-indications-of-liposuction-personal-experience-and-review-of-the-literature
#2
Chun-Ye Chen, Min-Xia Zhang, Chun-Lan Huang, Qing-Qing Fang, Xiao-Wei Wang, Ji-Hua Xu, Chang-Qian Bao, Zi-Meng Xu, Wei-Qiang Tan
No abstract text is available yet for this article.
September 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27255774/effects-of-the-intramyocardial-implantation-of-stromal-vascular-fraction-in-patients-with-chronic-ischemic-cardiomyopathy
#3
K Comella, J Parcero, H Bansal, J Perez, J Lopez, A Agrawal, T Ichim
BACKGROUND: Stromal vascular fraction (SVF) can easily be obtained from a mini-lipoaspirate procedure of fat tissue. The SVF contains a mixture of cells including ADSCs and growth factors and has been depleted of the adipocyte (fat cell) population. We evaluated the safety and efficacy of administering SVF intra-myocardially into patients with chronic ischemic cardiomyopathy. METHODS: A total of 28 patients underwent a local tumescent liposuction procedure to remove approximately 60 ml of fat tissue...
2016: Journal of Translational Medicine
https://www.readbyqxmd.com/read/27194429/adipocytes-viability-after-suction-assisted-lipoplasty-does-the-technique-matter
#4
Moti Harats, Eran Millet, Marie Jaeger, Arie Orenstein, Josef Haik, Steven D Hajdu, Gal Markel, Eyal Winkler, Ariel Tessone
BACKGROUND: Suction-assisted lipoplasty (SAL; liposuction) is an established aesthetic procedure in plastic surgery. The main parameters differentiating one method of lipoplasty from another are safety, consistency of results, and other more technical parameters. Due to the recent popularity of lipotransfer, the quality of extracted fat has become a relevant parameter. We compare the viability of extracted adipocytes after dry SAL, hyper-tumescent PAL (power-assisted lipoplasty), and water-assisted lipoplasty (WAL)...
August 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27075680/first-dutch-guidelines-on-lipedema-using-the-international-classification-of-functioning-disability-and-health
#5
Anne B Halk, Robert J Damstra
INTRODUCTION: Lipedema is a chronic, progressive condition that can result in considerable disability. In 2011, the Dutch Society of Dermatology and Venereology organized a task force to create guidelines on lipedema, using the International Classification of Functioning, Disability and Health of the World Health Organization. GUIDELINE DEVELOPMENT: Clinical questions on significant issues in lipedema care were proposed, involving (1) making the diagnosis of lipedema; (2) clinimetric measurements for early detection and adequate follow-up; and (3) treatment...
April 12, 2016: Phlebology
https://www.readbyqxmd.com/read/27049087/lipedema-%C3%A2-lack-of-evidence-for-the-involvement-of-tyrosine-kinases
#6
N Schneble, R Wetzker, U Wollina
Lipedema is a chronic disorder characterized by abnormal distribution of subcutaneous adipose tissue on the proximal extremities, pain and capillary fragility. Its etiology is unknown but in analogy to central obesity, chronic low-level inflammation in adipose tissue has been suggested. There seems to be an increased propagation of pre-adipocytes into mature adipocytes contributing to the massive enlargement of subcutaneous adipose tissue. We investigated whether tyrosine kinases might be involved. Proteins from adipose tissue harvested during microcannular tumescent liposuction in lipedema and in lipomas were subjected to 10% polyacrylamide-gel, transferred to a polyvinylidenfluorid membrane and immunoblotted with indicated P-Tyr-100 antibody followed by enhanced chemiluminescence reaction...
January 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/27046426/specialist-approaches-to-managing-lipoedema
#7
Amy Fetzer
While there is no proven cure for lipoedema, early detection is key as specialist treatments, complemented by self-management techniques, can improve symptoms and prevent progression. There is no universal approach as the correct treatment or treatments will depend on each patient's particular circumstances; however, when chosen early and appropriately, interventions can provide huge benefits. The most common treatments in the management of lipoedema include compression, manual lymphatic drainage (MLD), tumescent liposuction, intermittent pneumatic compression therapy (IPC), kinesio taping, deep oscillation therapy, and cognitive behavioural therapy (CBT)...
April 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/26895001/estimated-maximal-safe-dosages-of-tumescent-lidocaine
#8
Jeffrey A Klein, Daniel R Jeske
BACKGROUND: Tumescent lidocaine anesthesia consists of subcutaneous injection of relatively large volumes (up to 4 L or more) of dilute lidocaine (≤1 g/L) and epinephrine (≤1 mg/L). Although tumescent lidocaine anesthesia is used for an increasing variety of surgical procedures, the maximum safe dosage is unknown. Our primary aim in this study was to measure serum lidocaine concentrations after subcutaneous administration of tumescent lidocaine with and without liposuction. Our hypotheses were that even with large doses (i...
May 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26808738/on-beyond-lidocaine-reconsidering-local-anesthetics-in-tumescent-liposuction-a-critical-review
#9
Henry C Hsia
The use of tumescent solution in liposuction is now considered standard of care; however, much debate still exists regarding its ideal components, especially surrounding the inclusion of local anesthetics. This article reviews the discussion regarding the use of local anesthetics in tumescent liposuction and how it may evolve in the future. The need for local anesthetic additives in tumescent liposuction has been questioned, and the use of longer-acting agents discouraged; however, increasing number of reports in recent years have described the increasingly widespread use of tumescent anesthesia where a wetting solution is infiltrated to achieve anesthesia in an operative field for procedures other than liposuction...
February 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/26801197/buttock-lifting-with-polypropylene-strips
#10
José Ballivian Rico, Atilio Esteche, Carlos José Ramírez Hanke, Ricardo Cavalcanti Ribeiro
BACKGROUND: The purpose of this study was to evaluate the results of gluteal suspension with polypropylene strips. PATIENTS AND METHODS: Ninety healthy female patients between the ages of 20 and 50 years (mean, 26 years), who wished to remodel their buttocks from December 2004 to February 2013 were studied retrospectively. All 90 patients were treated with 2 strips of polypropylene on each buttock using the following procedures: 27 (30 %) patients were suspended with polypropylene strips; 63 (70 %) patients were treated with tumescent liposuction in the sacral "V", lower back, supragluteal regions, and flanks to improve buttocks contour (aspirated volume of fat from 350 to 800 cc); 16 (18 %) patients underwent fat grafting in the subcutaneous and intramuscular layers (up to 300 cc in each buttock to increase volume); 5 (6 %) patients received implants to increase volume; and 4 (4...
April 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/26256653/-recognising-and-treating-lipidema-omim-614103
#11
F Truchetet, A Bonhomme
Lipedema is a poorly understood clinical entity that is frequently under-diagnosed and neglected or else confused with lymphoedema. However, in most cases, diagnosis is simple and does not usually necessitate laboratory examinations. There is an extremely high demand for therapy since the condition causes major morbidity and affects quality of life. The aim of treatment is to reduce patient weight; although weight loss does not affect the morphology of the lower limbs, it optimises patient mobility while reducing related complaints and improving quality of life...
August 2015: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/26211178/-the-application-of-facial-liposuction-and-fat-grafting-in-the-remodeling-of-facial-contour
#12
Huicai Wen, Li Ma, Ynnpeng Sui, Xueping Jian
OBJECTIVE: To investigate the application of facial liposuction and fat grafting in the remodeling of facial contour. METHODS: From Nov. 2008 to Mar. 2014, 49 cases received facial liposuction and fat grafting to improve facial contours. Subcutaneous facial liposuction with tumescent technique and chin fat grafting were performed in all the cases, buccal fat pad excision of fat in 7 cases, the masseter injection of botulinum toxin type A in 9 cases, temporal fat grafting in 25 cases, forehead fat grafting in 15 cases...
March 2015: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
https://www.readbyqxmd.com/read/26183712/laser-assisted-liposuction-using-the-novel-1-444-nm-nd-yag-laser-for-the-treatment-of-gynecomastia-a-pilot-study
#13
Kwang Ho Yoo, Jung Min Bae, Chae Young Won, Yu Seok Chung, Boncheol Goo, Yong Kwan Rho, Gyong Moon Kim, Jongwon Lee, Byeong Heon Ahn, Beom Joon Kim
BACKGROUND: Laser-assisted liposuction (LAL) is currently widely used to reduce localized fat. A novel Nd:YAG laser that uses a wavelength of 1,444 nm, which is better absorbed by fat, has recently been introduced. In this study, we investigated the efficacy of 1,444-nm Nd:YAG LAL for the treatment of gynecomastia. PATIENTS AND METHODS: Thirteen Korean male patients (20-28 years, mean age 23 years) diagnosed with gynecomastia were enrolled in this study. All patients were treated by LAL with 1,444-nm Nd:YAG laser (100 µs pulse width, 40 Hz frequency, 300 mJ pulse energy and 12 W power with continuous emission) after tumescent anesthetic infiltration and were then evaluated...
2015: Dermatology: International Journal for Clinical and Investigative Dermatology
https://www.readbyqxmd.com/read/25919253/gluteoplasty-with-autologous-fat-tissue-experience-with-106-consecutive-cases
#14
Rodrigo G Rosique, Marina J F Rosique, Carlos Gustavo De Moraes
BACKGROUND: The female waist-hip ratio of around 0.7 is reachable through liposuction and gluteal fat grafting. The authors evaluated the reliability of this technique. METHODS: Prospective evaluation was performed of all female patients subjected to gluteoplasty with autologous fat tissue between July of 2010 and July of 2013 without a weight change greater than 10 percent during follow-up. Results were evaluated through photographs. The degree of satisfaction (patient and surgeon) was assessed on a scale of 1 (poor outcome) to 4 (excellent improvement), and agreement was measured by Kappa statistics...
May 2015: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/25875251/acute-pulmonary-edema-following-liposuction-due-to-heart-failure-and-atypical-pneumonia
#15
Uwe Wollina, Andreas Graf, Volkmar Hanisch
Microcannular liposuction in tumescent anesthesia is the most effective treatment for painful lipedema. Tumescent anesthesia is an established and safe procedure in local analgesia when performed according to guidelines. Major adverse effects are rare. In patients with advanced lipedema, however, the commonly presented comorbidities bear additional risks.We report on post-surgical acute pulmonary edema after tumescent liposuction according to guidelines in a 52-year-old female patient with lipedema of the legs...
May 2015: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/25710946/adipose-tissue-derived-regenerative-cell-enhanced-lipofilling-for-treatment-of-cryptoglandular-fistulae-in-ano-the-alfa-technique
#16
David W Borowski, Talvinder S Gill, Anil K Agarwal, Mohamed A Tabaqchali, Dharmendra K Garg, Pud Bhaskar
BACKGROUND: The treatment of complex fistulae-in-ano is challenging and often includes a number of operations due to high rates of recurrence. Recently, techniques using in vitro expanded adipose tissue-derived stem cells have been described. We describe a novel treatment for cryptoglandular fistulae used in 7 patients, using a combination of surgical closure of the internal opening and real-time autologous adipose tissue-derived regenerative cells (ADRC)-enhanced lipofilling, without need for in vitro expansion...
December 2015: Surgical Innovation
https://www.readbyqxmd.com/read/25593425/electrolyte-and-haemogram-changes-post-large-volume-liposuction-comparing-two-different-tumescent-solutions
#17
Kumar Vivek, Shah Amiti, Saha Shivshankar, Choudhary Lalit
BACKGROUND: The most common definitions of large volume liposuction refer to total 5 l volume aspiration during a single procedure (fat plus wetting solution). Profound haemodynamic and metabolic alterations can accompany large volume liposuction. Due to paucity of literature on the effect of different tumescent solutions on the electrolyte balance and haematological changes during large volume liposuction, we carried out this study using two different wetting solutions to study the same...
September 2014: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/25590254/local-anesthetic-use-in-tumescent-liposuction-an-american-society-of-plastic-surgeons-survey
#18
Angie M Paik, Lily N Daniali, Edward S Lee, Henry C Hsia
BACKGROUND: Current guidelines favor the use of lidocaine in liposuction wetting solutions. The use of bupivacaine as an alternative remains controversial despite reports of its use with safe and favorable outcomes suggesting faster postoperative recovery time secondary to improved pain control. The goals of this study were to determine the prevalence of bupivacaine use, examine liposuction practices of bupivacaine users, and elucidate opinions regarding bupivacaine use. METHODS: An online survey was distributed to 2500 randomly selected members of the American Society of Plastic Surgeons...
February 2015: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/25521101/a-review-of-the-aesthetic-treatment-of-abdominal-subcutaneous-adipose-tissue-background-implications-and-therapeutic-options
#19
REVIEW
Daniel P Friedmann
BACKGROUND: The demand for aesthetic body sculpting procedures has expanded precipitously in recent years. Subcutaneous adipose tissue (SAT) deposits of the central abdomen are especially common areas of concern for both males and females. OBJECTIVE: To review the available literature regarding the underlying pathophysiology of subcutaneous fat accumulation in the abdominal area and available treatment options. METHODS: A MEDLINE and Google Scholar search was performed accordingly...
January 2015: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/25289231/radiofrequency-assisted-liposuction-for-arm-contouring-technique-under-local-anesthesia
#20
Spero Theodorou, Christopher Chia
BACKGROUND: Contouring of the arms that does not involve skin excision remains a difficult challenge due to the dependent nature and quality of the skin. Although brachioplasty remains effective, it requires a lengthy incision. Radiofrequency-assisted liposuction (RFAL) may improve skin retraction with a satisfactory aesthetic result without skin resection and the resultant scar. The purpose of this study is to present our experience of RFAL arm contouring under local anesthesia, detailing safety guidelines, the marking technique, operative technique, complications, third-party surgeon appraisal, and patient satisfaction survey...
August 2013: Plastic and Reconstructive Surgery. Global Open
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