Luiz Felipe Duarte Fernandes Vieira, Carlos Lacerda Andrade Almeida, João Paulo Siqueira, Leonardo Campelo Almeida, Raphael Carvalho Sodre Duarte, Flavio Kreimer
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引用次数: 0
Abstract
Background: The improvement in liposuction and associated procedures seen in recent years has led to an increase in complications, particularly related to significant blood loss. This study aims to evaluate the intraoperative use of cell salvage to recover red blood cells from liposuction aspirate and reinfuse them into the patient.
Methods: A prospective, randomized, blinded and controlled trial was conducted with 63 patients.
Results: Postoperative hematocrit (HT) was significantly higher in the intervention group (34.8 ± 3.3) compared to the control group (31.1 ± 2.7, p < 0.001). Similarly, hemoglobin (Hb) levels were greater 24 hours after surgery (11.7 ± 1.1 vs 10.4 ± 0.8, p < 0.001). On average, 198.5 mL (198.50 ± 136.60) of red blood cells were recovered and reinfused.
Conclusion: Patient blood management is a key strategy to enhance surgical outcomes globally. The use of cell salvage during liposuction helps preserve hemoglobin levels close to normal ranges and prevent acute anemia, contributing to faster and safer recovery. Cell salvage should be considered a standard tool and routinely used in extensive liposuction procedures.
Level of evidence ii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
期刊介绍：
Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP).
Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships.
Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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