title: Microcannular tumescent liposuction in advanced lipedema and Dercum's disease.
abstract: OBJECTIVE
  We evaluated the outcome and risks of tumescence liposuction in patients with advanced lipedema or Dercum's disease.
  
  
  METHODS
  Six patients treated at a single center during the years 2004 to 2008 have been included. All patients were female and obese (body mass index 34 to 41.9; mean 38.2+/-3.8) with an age range from 29 to 78 years (mean 55.7+/-20.5 years), five of them had co-morbidities.
  
  
  RESULTS
  The total amount of lipoaspirates varied between 1500 mL and 4800 mL. Pain could be reduced in all four patients with Dercum's disease. Large adipose tissue removing implies a better the outcome for pain. Patient's satisfaction was "high" or "very high" in 5 and "medium" in one. The most common adverse effect was met-hemoglobulinemia (N.=4).
  
  
  CONCLUSIONS
  Tumescence liposuction is a treatment option for lipedema and Dercum's disease. With careful monitoring the procedure is safe even for patients in advanced stages, higher age and with co-morbidities.
authors.affiliation: Department of Dermatology and Allergology, Academic Teaching Hospital of the Technical, University of Dresden, Dresden, Germany. wollina-uw@khdf.de
authors.forename: U
authors.initials: U
authors.lastname: Wollina
authors.forename: A
authors.initials: A
authors.lastname: Goldman
authors.forename: B
authors.initials: B
authors.lastname: Heinig
mesh_terms: D000273:Adipose Tissue; D000274:Adiposis Dolorosa / Q000628:therapy*; D000328:Adult; D000368:Aged; D003240:Connective Tissue Diseases / Q000628:therapy*; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D012720:Severity of Illness Index