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Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
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Superwet anesthesia redefines large-volume liposuction.

A Matarasso1

  • 1Manhattan Eye, Ear, & Throat Hospital, Albert Einstein College of Medicine, New York, NY.

Aesthetic Surgery Journal
|March 31, 2009
PubMed
Summary

Superwet anesthesia, a regional technique for liposuction, involves rapid fluid infusion. This method requires adjusted fluid replacement calculations due to incomplete fluid absorption during large-volume procedures.

Area of Science:

  • Plastic Surgery
  • Anesthesiology

Background:

  • Superwet anesthesia is a regional anesthesia technique for liposuction.
  • It involves rapid infusion of a solution to achieve tissue blanching and tension.
  • This technique is combined with systemic anesthesia and intravenous hydration.

Purpose of the Study:

  • To evaluate the efficacy of the superwet formulation in regional anesthesia for large-volume liposuction.
  • To analyze fluid absorption and fat removal ratios in superwet anesthesia.
  • To reassess the definition of large-volume liposuction based on fluid dynamics.

Main Methods:

  • A consecutive series of 20 patients undergoing large-volume liposuction (>1500 ml) were studied.
  • The study analyzed the volumes of injectate, aspirate, and fractionated infranatant fluid.

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  • Fluid absorption and fat removal were quantified.

    • Main Results:

    • Average injectate volume was 2285 ml, with an average aspirate volume of 2437.5 ml.
    • Approximately 21-22% of injected fluid was not absorbed, resulting in a fat removed to fluid absorbed ratio around 1:1.
    • The study suggests that the traditional definition of large-volume liposuction (>1500 ml) may need revision.

    Conclusions:

    • Superwet anesthesia is effective for large-volume liposuction.
    • Incomplete fluid absorption necessitates altered fluid replacement strategies.
    • Standardized reporting of injectate, aspirate, and infranatant volumes is crucial for consistency.