The safety of liposuction: Results of a national survey
The safety of liposuction: Results of a national survey
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DOI：
10.1046/j.1524-4725.2002.02081.x
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发表时间：
2002-11-01
影响因子：
2.4
通讯作者：
Fleischer, AB
中科院分区：
文献类型：
--
作者：
Housman, TS;Lawrence, N;Fleischer, AB
背景。抽脂手术的频率越来越高，并且可以在医院、门诊手术中心或医生办公室进行。与吸脂术相关的死亡以及之前的吸脂术安全性调查引起了人们对办公室手术安全性的担忧。 目的。确定皮肤外科医生在办公室进行肿胀吸脂术的安全性。方法。 2001 年 8 月向皮肤外科医生发出的一项调查要求提供关于接受吸脂术的患者数量、手术实施环境以及 1994 年至 2000 年 7 年间发生的并发症的回顾性信息。对报告的每一起严重不良事件或死亡都要求提供详细的并发症记录。调查结果已邮寄给美国皮肤外科学会 (ASDS) 列出的 517 名进行吸脂手术的全球会员； 505 有足够的联系信息。主要结果指标是每种服务环境和每种清醒镇静水平每 1000 次吸脂手术的严重不良事件 (SAE) 或死亡率。结果。总体缓解率为 89% (450/505)，其中 78% (349/450) 进行了吸脂术。共有267名皮肤科医生完成了调查； 261 提供了 66,570 例吸脂手术的数据。没有死亡报告。总体严重不良事件率为每1000例0.68例。医院和门诊手术中心的 SAE 发生率高于未经认可的办公室环境。肿胀吸脂术联合静脉或肌内镇静的 SAE 发生率也高于联合口服或不镇静的情况。结论。由皮肤外科医生进行的办公室肿胀吸脂术是安全的，其并发症发生率比医院手术低。未来的立法应该承认由皮肤外科医生在其办公室进行的这一手术的安全性。
BACKGROUND. Liposuction procedures are increasing in frequency and may be performed in hospitals, ambulatory surgery centers, or physician offices. Deaths associated with liposuction and previous surveys of liposuction safety have raised concern about the safety of office-based surgery.OBJECTIVE. To determine the safety of office-based, tumescent liposuction among dermatologic surgeons.METHODS. A survey mailed out to dermatologic surgeons in August 2001 requested retrospective information regarding the number of patients undergoing liposuction, the setting in which the procedures were performed, and the complications that occurred during the 7-year period from 1994 to 2000. A detailed complication record was requested for each serious adverse event or death reported. Surveys were mailed to 517 worldwide members of the American Society for Dermatologic Surgery (ASDS) listed as performing liposuction; 505 had adequate contact information. The main outcome mesure was the rate of serious adverse events (SAEs) or deaths per 1000 liposuction procedures for each service setting and for each level of conscious sedation.RESULTS. The overall response rate was 89% (450/505), and of these, 78% (349/450) perform liposuction. A total of 267 dermatologic surgeons completed the survey; 261 provided data on 66,570 liposuction procedures. No deaths were reported. The overall serious adverse event rate was 0.68 per 1000 cases. The SAE rates were higher for hospitals and ambulatory surgery centers than for nonaccredited office settings. SAE rates were also higher for tumescent liposuction combined with intravenous or intramuscular sedation than combined with oral or no sedation.CONCLUSION. Office-based tumescent liposuction performed by dermatologic surgeons is safe, with a lower complication rate than hospital-based procedures. Future legislation should recognize the proven safety of this procedure as performed by dermatologic surgeons in their offices.