Avoiding unfavourable outcomes in liposuction

The origin of liposuction can be traced to an adverse event by Dujarrier in 1921 when he used a uterine curette to remove fat from the knees of a ballerina ending in an amputation secondary to damage of the femoral artery. The history of liposuction since then has been one of avoiding complications...

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Main Authors: Atul Khanna, George Filobbos
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2013-05-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.118618
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author Atul Khanna
George Filobbos
author_facet Atul Khanna
George Filobbos
author_sort Atul Khanna
collection DOAJ
description The origin of liposuction can be traced to an adverse event by Dujarrier in 1921 when he used a uterine curette to remove fat from the knees of a ballerina ending in an amputation secondary to damage of the femoral artery. The history of liposuction since then has been one of avoiding complications and optimising outcome. After this adverse event, liposuction was abandoned until the 1960′s when Schrudde revived the practice using small stab incisions and sharp curettage with the secondary suction to aspirate the freed tissue. This technique was associated with a high incidence of complications especially seroma and skin necrosis. Illouz then replaced the curette with a blunt cannula connected to vacuum pump thus avoiding the complications of a sharp curette. Despite the presence of various techniques for liposuction, suction assisted liposuction (SAL) is still the standard technique of liposuction. This article aims to discuss literature regarding the various aspects of liposuction (SAL) and to highlight the salient points in the literature and in the senior author′s experience in order to avoid unfavourable outcomes in liposuction. A literature review on avoiding complication is in liposuction including some of the seminal papers on liposuction. Liposuction is generally a safe procedure with reproducible outcome. Just like any surgical procedure it should be treated with the utmost care. Illouz published 10 commandments for liposuction in 1989 and we review these commandments to demonstrate how liposuction has evolved.
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spelling doaj-art-78c52bdd7fca49fca5afa659a2bb26d42025-08-20T03:19:17ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2013-05-01460239340010.4103/0970-0358.118618Avoiding unfavourable outcomes in liposuctionAtul Khanna0George Filobbos1Department of Plastic Surgery, Sandwell General Hospital, Lyndon, West Bromwich, West Midlands, UKDepartment of Plastic Surgery, Sandwell General Hospital, Lyndon, West Bromwich, West Midlands, UKThe origin of liposuction can be traced to an adverse event by Dujarrier in 1921 when he used a uterine curette to remove fat from the knees of a ballerina ending in an amputation secondary to damage of the femoral artery. The history of liposuction since then has been one of avoiding complications and optimising outcome. After this adverse event, liposuction was abandoned until the 1960′s when Schrudde revived the practice using small stab incisions and sharp curettage with the secondary suction to aspirate the freed tissue. This technique was associated with a high incidence of complications especially seroma and skin necrosis. Illouz then replaced the curette with a blunt cannula connected to vacuum pump thus avoiding the complications of a sharp curette. Despite the presence of various techniques for liposuction, suction assisted liposuction (SAL) is still the standard technique of liposuction. This article aims to discuss literature regarding the various aspects of liposuction (SAL) and to highlight the salient points in the literature and in the senior author′s experience in order to avoid unfavourable outcomes in liposuction. A literature review on avoiding complication is in liposuction including some of the seminal papers on liposuction. Liposuction is generally a safe procedure with reproducible outcome. Just like any surgical procedure it should be treated with the utmost care. Illouz published 10 commandments for liposuction in 1989 and we review these commandments to demonstrate how liposuction has evolved.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.118618complicationsliposuctionsuction assisted liposuction
spellingShingle Atul Khanna
George Filobbos
Avoiding unfavourable outcomes in liposuction
Indian Journal of Plastic Surgery
complications
liposuction
suction assisted liposuction
title Avoiding unfavourable outcomes in liposuction
title_full Avoiding unfavourable outcomes in liposuction
title_fullStr Avoiding unfavourable outcomes in liposuction
title_full_unstemmed Avoiding unfavourable outcomes in liposuction
title_short Avoiding unfavourable outcomes in liposuction
title_sort avoiding unfavourable outcomes in liposuction
topic complications
liposuction
suction assisted liposuction
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.118618
work_keys_str_mv AT atulkhanna avoidingunfavourableoutcomesinliposuction
AT georgefilobbos avoidingunfavourableoutcomesinliposuction