title: [Complications of injections of hypoosmotic solutes in an underage patient].
abstract: Liposuction represents the standard surgical treatment of localized fat excess. Some non-plastic-surgery-board-certified practitioners are likely to offer non-invasive alternatives treatments. We report the clinical case of a 14-year-old female patient who followed a Lipectomy treatment. The Lipectomy technique consists in a hypodermic injection of hypotonic solutions in order to obtain an adipocytes lysis by osmotic shock. No PubMed referenced scientific publication is related to the efficacy or the tolerance of this technique. Postoperative evolution was marked by a polymicrobial subcutaneous abscess that needed two surgical evacuations and 10 days of overnight stay in our department. Through this clinical case, we evoke the possible dangers linked to the application of a non-evaluated medical technique and the necessity of establishing an official validation agency related to innovative techniques in aesthetic medicine and surgery.
authors.affiliation: Service de chirurgie plastique et reconstructrice, CHU Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France. mdbenjoar@gmail.com
authors.forename: M-D
authors.initials: MD
authors.lastname: Benjoar
authors.forename: C
authors.initials: C
authors.lastname: Lepage
authors.forename: M
authors.initials: M
authors.lastname: Hivelin
authors.forename: L
authors.initials: L
authors.lastname: Lantieri
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016866:Bacteroidaceae Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D004322:Drainage; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007038:Hypotonic Solutions / Q000008:administration & dosage; D007279:Injections, Subcutaneous / Q000009:adverse effects*; D015187:Lipectomy / Q000009:adverse effects* / Q000379:methods; D012965:Sodium Chloride / Q000008:administration & dosage*; D050151:Subcutaneous Fat / Q000601:surgery*; D013848:Thigh / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D007038:Hypotonic Solutions; D012965:Sodium Chloride