[Quantitative analysis of blood loss in liposuction].
This study was performed in 15 female patients submitted to suction lipectomy as an isolated procedure, to establish blood loss in the procedure. A wide variation of blood-to-fat ratios was observed (17 to 59%) with a mean blood loss in lipoaspirates of 34 +/- 3%. Internal blood losses occurring in the first 72 post-operative hours were as important as or more important than external losses, and responsible for a mean 7% fall in the level of hemoglobin. Internal blood losses occurred between 72 hours and the 7th to the 10th post-operative days and were responsible for a mean 3% fall in the level of hemoglobin. Blood losses occurring in this study were demonstrated to be greater than usually assumed. Some prophylactic measures are recommended to provide for a safer treatment of these patients: an iron supplementation during the pre-operative period; careful clinical and laboratorial screening for bleeding disorders and for the intake of drugs that can interfere with coagulation; use of smaller-diameter cannulas for aspiration, auto-transfusion when aspirating in excess of 1,000 ml, and limiting the aspiration to 1,500 ml.
Schor
N
N
Zatz
R M
RM
Mendonça
A R
AR
Takatu
P M
PM
Patto
G S
GS
D000328:Adult; D005260:Female; D006400:Hematocrit; D006454:Hemoglobins / Q000032:analysis; D006470:Hemorrhage / Q000209:etiology*; D006488:Hemostasis, Surgical; D006801:Humans; D015187:Lipectomy / Q000009:adverse effects*; D008875:Middle Aged; D011182:Postoperative Care
D006454:Hemoglobins
Análise quantitativa das perdas sanguíneas em lipoaspiração.