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Does the Specialty of the Physician Affect Fatality Rates in Liposuction? A Comparison of Specialty Specific Data

Does the Specialty of the Physician Affect Fatality Rates in Liposuction? A Comparison of... LIPOSUCTION HAS been practiced in the United States since 1980. Originally introduced in the United States by an otolaryngologist, it was rapidly embraced by dermatologists and plastic surgeons. Developed by Arpad and Giorgia Fischer in Italy in 1975, liposuction procedures were initially quite bloody, with up to half the aspirate containing whole blood. This problem was addressed by limiting the size of procedures, administration of crystalloid, and blood transfusions. The problem of extensive bleeding with liposuction was solved with the introduction of the tumescent technique in 1987 by dermatologic surgeon Jeffrey Klein. Using experiments designed to expand the use of lidocaine local anesthesia for liposuction, Klein also discovered that infiltration of low concentrations of epinephrine significantly reduced bleeding. Klein's new discovery, “the tumescent technique,” involved the infiltration of a solution containing very dilute amounts of lidocaine and epinephrine before surgery. This provided two major benefits: the ability to perform larger liposuction cases using only local anesthesia and a significant reduction in the amount of bleeding during and after liposuction. Klein and Lillis demonstrated that using the tumescent technique the aspirate typically contained less than 1% whole blood, a dramatic change from the 30–40% reported with earlier methods. Dermatologic http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Dermatologic Surgery Wolters Kluwer Health

Does the Specialty of the Physician Affect Fatality Rates in Liposuction? A Comparison of Specialty Specific Data

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References (32)

Publisher
Wolters Kluwer Health
Copyright
Copyright © 2000 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1076-0512
eISSN
1524-4725
DOI
10.1046/j.1524-4725.2000.00084.x
Publisher site
See Article on Publisher Site

Abstract

LIPOSUCTION HAS been practiced in the United States since 1980. Originally introduced in the United States by an otolaryngologist, it was rapidly embraced by dermatologists and plastic surgeons. Developed by Arpad and Giorgia Fischer in Italy in 1975, liposuction procedures were initially quite bloody, with up to half the aspirate containing whole blood. This problem was addressed by limiting the size of procedures, administration of crystalloid, and blood transfusions. The problem of extensive bleeding with liposuction was solved with the introduction of the tumescent technique in 1987 by dermatologic surgeon Jeffrey Klein. Using experiments designed to expand the use of lidocaine local anesthesia for liposuction, Klein also discovered that infiltration of low concentrations of epinephrine significantly reduced bleeding. Klein's new discovery, “the tumescent technique,” involved the infiltration of a solution containing very dilute amounts of lidocaine and epinephrine before surgery. This provided two major benefits: the ability to perform larger liposuction cases using only local anesthesia and a significant reduction in the amount of bleeding during and after liposuction. Klein and Lillis demonstrated that using the tumescent technique the aspirate typically contained less than 1% whole blood, a dramatic change from the 30–40% reported with earlier methods. Dermatologic

Journal

Dermatologic Surgery – Wolters Kluwer Health

Published: Jul 1, 2000

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