II. Background: High Volume Liposuction (>5 Liters fat removed)

  1. Fat >5 L removal is associated with large volume Fluid Shifts with third spacing and hypovolemia
  2. These patients are typically observed overnight with Urine Output and Vital Sign monitoring

III. Complications

  1. Local Anesthetic Systemic Toxicity (LAST)
  2. Post-operative infection
    1. Typically occurs after 7th postoperative day
    2. Presents with Cellulitis with erythema and purulent drainage
    3. Infection after Liposuction with fat grafting typically requires surgical evaluation, admission and IV antibiotics
      1. However, infection after Liposuction alone in a non-septic patient may often be treated outpatient
  3. High Volume Liposuction (>5 Liters fat removed)
    1. Pulmonary edema
    2. Pleural Effusion
    3. Syncope

IV. Imaging: High Volume Liposuction (>5 Liters fat removed)

V. Labs: High Volume Liposuction (>5 Liters fat removed)

  1. Complete Blood Count
  2. Electrolytes
  3. Coagulation Studies

VI. References

  1. Claudius and LoTempio in Herbert (2018) EM:Rap 18(10): 17-8

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Ontology: Suction Lipectomy (C0038640)

Concepts Therapeutic or Preventive Procedure (T061)
MSH D015187
ICD10 45584-00
SnomedCT 302441008, 103711004, 395585003, 395655003
English Aspiration Lipectomies, Aspiration Lipolysis, Lipectomies, Aspiration, Lipectomies, Suction, Lipectomy, Aspiration, Lipectomy, Suction, Lipolysis, Aspiration, Lipolysis, Suction, Liposuction, Liposuctions, Suction Lipectomies, Suction Lipolysis, Liposuction subcut tissue, liposuction (treatment), liposuction, suction lipectomy, liposuction procedure, Liposuction (procedure), Liposuction of subcutaneous tissue, Liposuction of subcutaneous tissue (procedure), Liposuction, NOS, Suction Lipectomy, Aspiration Lipectomy
Japanese 脂肪吸引, シボウキュウイン
Czech liposukce, Liposukce
Portuguese Lipectomia por Aspiração, Liposucção, Lipectomia por Sucção, Lipólise por Sucção, Lipossucção
Spanish Lipectomía por Aspiración, liposucción, liposucción (procedimiento), liposucción de tejido celular subcutáneo (procedimiento), liposucción de tejido celular subcutáneo, Liposucción, Lipectomía por Succión, Lipólisis por Succión
German Absauglipektomie, Fettabsaugung, Fettgewebsabsaugen, Lipolyse, Saug-, Sauglipektomie
French Liposuccion, Lipo-sculpture, Lipo-succion, Liposculpture, Lipoaspiration, Lipo-aspiration
Hungarian Zsírleszívás
Norwegian Fettsuging
Italian Lipectomia aspirata, Liposcultura, Liposuzione
Dutch liposuctie, Aspiratielipectomie, Liposuctie, Suctielipectomie, Suctielipolyse