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Electrolyte and Haemogram changes post large volume liposuction comparing two different tumescent solutions.

Kumar Vivek1, Shah Amiti1, Saha Shivshankar1

  • 1Department of Plastic Surgery, Sir Ganga Ram Hospital, New Delhi, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|January 17, 2015
PubMed
Summary

Large volume liposuction causes significant electrolyte and hematocrit changes. Both normal saline and Ringer's lactate are safe tumescent solutions for this procedure, requiring 24-hour observation.

Keywords:
Electrolyte changes during liposuctionhaemogram changes during liposuctionlarge volume liposuction

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Area of Science:

  • Plastic Surgery
  • Anesthesiology
  • Metabolic Studies

Background:

  • Large volume liposuction, defined as >5L aspiration, can cause significant hemodynamic and metabolic alterations.
  • Limited research exists on the impact of different tumescent solutions on electrolyte balance and hematological changes during large volume liposuction.
  • This study investigated the effects of two distinct wetting solutions on these parameters.

Purpose of the Study:

  • To compare the effects of normal saline (NS) and Ringer's lactate (RL) as tumescent solutions on electrolyte balance and hematological parameters during large volume liposuction.
  • To assess the safety and efficacy of NS and RL in large volume liposuction procedures.

Main Methods:

  • A prospective randomized controlled trial involving 30 patients undergoing large volume liposuction.
  • Patients were randomized into two groups (n=15 each): one receiving NS and the other RL as the tumescent solution.
  • Serum electrolytes and hematocrit levels were measured pre-induction, immediately post-operation, and on postoperative day 1.

Main Results:

  • Statistically significant changes in electrolytes and hematocrit levels were observed during large volume liposuction.
  • No statistically significant difference was found in electrolyte changes between the NS and RL groups.

Conclusions:

  • Large volume liposuction leads to significant electrolyte and hematocrit alterations, necessitating at least 24 hours of observation by an anesthesiologist.
  • Both normal saline and Ringer's lactate were found to be safe tumescent solutions for large volume liposuction.
  • Intensive Care Unit admission is generally not required, but strict monitoring of vital parameters is essential.