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Liposuction
Aka: Liposuction, Suction Lipolysis, Suction Lipectomy
- Background: High Volume Liposuction (>5 Liters fat removed)
- Fat >5 L removal is associated with large volume Fluid Shifts with third spacing and hypovolemia
- These patients are typically observed overnight with Urine Output and Vital Sign monitoring
- Complications
- Local Anesthetic Systemic Toxicity (LAST)
- Post-operative infection
- Typically occurs after 7th postoperative day
- Presents with Cellulitis with erythema and purulent drainage
- Infection after Liposuction with fat grafting typically requires surgical evaluation, admission and IV antibiotics
- However, infection after Liposuction alone in a non-septic patient may often be treated outpatient
- High Volume Liposuction (>5 Liters fat removed)
- Pulmonary Edema
- Pleural Effusion
- Syncope
- Imaging: High Volume Liposuction (>5 Liters fat removed)
- Chest XRay
- Labs: High Volume Liposuction (>5 Liters fat removed)
- Complete Blood Count
- Electrolytes
- Coagulation Studies
- References
- Claudius and LoTempio in Herbert (2018) EM:Rap 18(10): 17-8