{"title":"New Method of Estimation of Blood Loss During Large-volume Liposuction and Lipoabdominoplasty.","authors":"Amer Salman Almansory, Ula Abd Al-Hussain Habash","doi":"10.1097/GOX.0000000000007035","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Liposuction and/or abdominoplasty is one of the most common procedures in plastic surgery. Safety is a primary concern for both patients and surgeons. In this study, we aimed to more accurately estimate perioperative blood loss to prevent and manage early decreases in hemoglobin percentage (HB%).</p><p><strong>Methods: </strong>A prospective study was conducted between March 2022 and March 2024, involving 12 patients, both men and women, who underwent liposuction and/or abdominoplasty under general anesthesia. Samples were taken from aspirated fluid, fat, and drain, and a manual hematocrit calculation method was used. The volume of blood in the lipoaspirate was calculated based on the loss in the supernatant, fat, and drain fluids. Blood was replaced according to the study formula. Patients were assessed for postoperative decreases in HB% and stability of vital signs.</p><p><strong>Results: </strong>The mean aspirate volume was 7400 mL, with a nontrivial volume of blood loss, and the mean postoperative decrease in HB% was 1.8 g/dL. After correcting for blood loss through transfusion according to the study formula, all patients were vitally stable, with no postural hypotension and normal pulse rates.</p><p><strong>Conclusions: </strong>This study introduced a new method for intraoperative hematocrit calculation of blood loss in large-volume liposuction, allowing for accurate estimation of the volume of blood loss that may need to be replaced. This method improves the safety of the procedure, predicts postoperative decreases in HB%, and supports the decision to continue or halt the procedure safely.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7035"},"PeriodicalIF":1.8000,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12466909/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000007035","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Liposuction and/or abdominoplasty is one of the most common procedures in plastic surgery. Safety is a primary concern for both patients and surgeons. In this study, we aimed to more accurately estimate perioperative blood loss to prevent and manage early decreases in hemoglobin percentage (HB%).
Methods: A prospective study was conducted between March 2022 and March 2024, involving 12 patients, both men and women, who underwent liposuction and/or abdominoplasty under general anesthesia. Samples were taken from aspirated fluid, fat, and drain, and a manual hematocrit calculation method was used. The volume of blood in the lipoaspirate was calculated based on the loss in the supernatant, fat, and drain fluids. Blood was replaced according to the study formula. Patients were assessed for postoperative decreases in HB% and stability of vital signs.
Results: The mean aspirate volume was 7400 mL, with a nontrivial volume of blood loss, and the mean postoperative decrease in HB% was 1.8 g/dL. After correcting for blood loss through transfusion according to the study formula, all patients were vitally stable, with no postural hypotension and normal pulse rates.
Conclusions: This study introduced a new method for intraoperative hematocrit calculation of blood loss in large-volume liposuction, allowing for accurate estimation of the volume of blood loss that may need to be replaced. This method improves the safety of the procedure, predicts postoperative decreases in HB%, and supports the decision to continue or halt the procedure safely.
期刊介绍：
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
