title: Water jet-assisted liposuction for patients with lipoedema: histologic and immunohistologic analysis of the aspirates of 30 lipoedema patients.
abstract: Lipoedema is a fat distribution disorder causing massive, bilaterally symmetrical enlargement of the lower and in some cases the upper extremities in women. The atraumatic, anatomically appropriate procedure of water jet-assisted liposuction available today represents a promising treatment for these patients who generally suffer from severe subjective and objective impairment. Liposuction treatment can bring long-term improvement if the operative technique focuses on lymph vessel preservation. Immunohistologic analyses show minimal evidence of lymph vessel structures in lipoaspirates. The histologic analysis of the aspirates documents a relatively specific removal ("apheresis") of primarily intact lipocytes with low vascular amount.
authors.affiliation: Schwerpunktpraxis Lipödem, Thiemitztalstrasse 6, 95131 Schwarzenbach/Wald, Germany. stutz.dr@t-online.de
authors.forename: J J
authors.initials: JJ
authors.lastname: Stutz
authors.forename: D
authors.initials: D
authors.lastname: Krahl
mesh_terms: D000328:Adult; D050218:Body Fat Distribution; D005260:Female; D006801:Humans; D015187:Lipectomy; D052439:Lipid Metabolism Disorders / Q000601:surgery; D008068:Lipomatosis / Q000601:surgery*; D035002:Lower Extremity; D008875:Middle Aged; D055815:Young Adult