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Imaging Findings of Liposuction with an Emphasis on Postsurgical Complications.

You JS, Chung YE, Baek SE, Chung SP, Kim MJ - Korean J Radiol (2015)

Bottom Line: These complications vary from postoperative nausea to life-threatening events.Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema.Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.

ABSTRACT
Liposuction is one of the most frequently performed cosmetic surgeries worldwide for reshaping the body contour. Although liposuction is minimally invasive and relatively safe, it is a surgical procedure, and it carries the risk of major and minor complications. These complications vary from postoperative nausea to life-threatening events. Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema. Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported. In this paper, we provide a brief introduction to liposuction with the related anatomy and present computed tomography and ultrasonography findings of a wide spectrum of postoperative complications associated with liposuction.

No MeSH data available.


Related in: MedlinePlus

64-year-old woman presented with abdominal pain and right abdominal wall bulging after liposuction.A. On axial portal venous-phase CT images, loculated fluid collection was noted in right lower abdominal wall (arrowheads). B. Fluoroscopy-guided pigtail catheter (arrow) insertion was performed. C. On follow-up CT, compete drainage of fluid collection is observed. Inserted catheter, which was located within fluid collection, is visible (arrow).
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Figure 8: 64-year-old woman presented with abdominal pain and right abdominal wall bulging after liposuction.A. On axial portal venous-phase CT images, loculated fluid collection was noted in right lower abdominal wall (arrowheads). B. Fluoroscopy-guided pigtail catheter (arrow) insertion was performed. C. On follow-up CT, compete drainage of fluid collection is observed. Inserted catheter, which was located within fluid collection, is visible (arrow).

Mentions: Small perforating vessels in the subcutaneous layer can be injured frequently during liposuction. Bleeding from these small vessels can be controlled with vasoconstrictor solutions, which are administered during liposuction and compression dressing after the surgery (3). If complete bleeding control is not achieved or if the patient has a bleeding tendency, haematoma with or without active bleeding can occur during or after liposuction (Fig. 7) (514). Small lymphatic channels can also be injured during the liposuction, and lymphoedema or a seroma may develop after the surgery (Fig. 8). According to previous studies, seroma development is the second most common complication after liposuction, and the approximate incidence is 2.3-3.5% (2). Tissue trauma with extensive breaking of the fibrous tissue network may lead to a seroma or lymphoedema. Scrotal or labial lymphoedema can develop after abdominal (especially pubic fat) liposuction (Fig. 9) (21). Although appropriate compression garments and early drainage massage can improve the seroma or lymphoedema in most cases, drainage catheter insertion might be needed in long-standing cases of localised seroma (Fig. 8) (21).


Imaging Findings of Liposuction with an Emphasis on Postsurgical Complications.

You JS, Chung YE, Baek SE, Chung SP, Kim MJ - Korean J Radiol (2015)

64-year-old woman presented with abdominal pain and right abdominal wall bulging after liposuction.A. On axial portal venous-phase CT images, loculated fluid collection was noted in right lower abdominal wall (arrowheads). B. Fluoroscopy-guided pigtail catheter (arrow) insertion was performed. C. On follow-up CT, compete drainage of fluid collection is observed. Inserted catheter, which was located within fluid collection, is visible (arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644740&req=5

Figure 8: 64-year-old woman presented with abdominal pain and right abdominal wall bulging after liposuction.A. On axial portal venous-phase CT images, loculated fluid collection was noted in right lower abdominal wall (arrowheads). B. Fluoroscopy-guided pigtail catheter (arrow) insertion was performed. C. On follow-up CT, compete drainage of fluid collection is observed. Inserted catheter, which was located within fluid collection, is visible (arrow).
Mentions: Small perforating vessels in the subcutaneous layer can be injured frequently during liposuction. Bleeding from these small vessels can be controlled with vasoconstrictor solutions, which are administered during liposuction and compression dressing after the surgery (3). If complete bleeding control is not achieved or if the patient has a bleeding tendency, haematoma with or without active bleeding can occur during or after liposuction (Fig. 7) (514). Small lymphatic channels can also be injured during the liposuction, and lymphoedema or a seroma may develop after the surgery (Fig. 8). According to previous studies, seroma development is the second most common complication after liposuction, and the approximate incidence is 2.3-3.5% (2). Tissue trauma with extensive breaking of the fibrous tissue network may lead to a seroma or lymphoedema. Scrotal or labial lymphoedema can develop after abdominal (especially pubic fat) liposuction (Fig. 9) (21). Although appropriate compression garments and early drainage massage can improve the seroma or lymphoedema in most cases, drainage catheter insertion might be needed in long-standing cases of localised seroma (Fig. 8) (21).

Bottom Line: These complications vary from postoperative nausea to life-threatening events.Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema.Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.

ABSTRACT
Liposuction is one of the most frequently performed cosmetic surgeries worldwide for reshaping the body contour. Although liposuction is minimally invasive and relatively safe, it is a surgical procedure, and it carries the risk of major and minor complications. These complications vary from postoperative nausea to life-threatening events. Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema. Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported. In this paper, we provide a brief introduction to liposuction with the related anatomy and present computed tomography and ultrasonography findings of a wide spectrum of postoperative complications associated with liposuction.

No MeSH data available.


Related in: MedlinePlus