TY - JOUR
T1 - The importance of preoperative hemoglobin evaluation in large volume liposuction
T2 - Lessons learned from our 15-year experience
AU - Choudry, Umar H.
AU - Hyza, Petr
AU - Lane, Jason
AU - Petty, Paul
PY - 2008/9
Y1 - 2008/9
N2 - Liposuction of >5 L of total aspirate at one setting is defined as large volume liposuction (LVL). A retrospective chart review was performed on all patients who underwent LVL from January 1990 to June 2005. Sixty-two patients underwent LVL. The mean volume of total aspirate was 8 L (5.0-11.7 L). There were a total of 6 patients who had complications. These included symptomatic postoperative anemia requiring blood transfusions on postoperative day 1 (n = 5), and an expanding hematoma requiring operative evacuation without transfusion (n = 1). Two of the patients who had blood transfusions had a history of gastric bypass and all of the patients were preoperatively anemic (<11.5 mg/dL). The mean follow up was 38 months. LVL is safe when performed in healthy patients under strict guidelines. Hemoglobin levels of all potential LVL patients should be checked preoperatively, and surgery should be withheld for levels <12 g/dL.
AB - Liposuction of >5 L of total aspirate at one setting is defined as large volume liposuction (LVL). A retrospective chart review was performed on all patients who underwent LVL from January 1990 to June 2005. Sixty-two patients underwent LVL. The mean volume of total aspirate was 8 L (5.0-11.7 L). There were a total of 6 patients who had complications. These included symptomatic postoperative anemia requiring blood transfusions on postoperative day 1 (n = 5), and an expanding hematoma requiring operative evacuation without transfusion (n = 1). Two of the patients who had blood transfusions had a history of gastric bypass and all of the patients were preoperatively anemic (<11.5 mg/dL). The mean follow up was 38 months. LVL is safe when performed in healthy patients under strict guidelines. Hemoglobin levels of all potential LVL patients should be checked preoperatively, and surgery should be withheld for levels <12 g/dL.
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U2 - 10.1097/SAP.0b013e31815bf341
DO - 10.1097/SAP.0b013e31815bf341
M3 - Article
C2 - 18724118
AN - SCOPUS:53149090953
SN - 0148-7043
VL - 61
SP - 230
EP - 234
JO - Annals of plastic surgery
JF - Annals of plastic surgery
IS - 3
ER -