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Evaluation of blood loss during tumescent liposuction in Orientals
1Department of Dermatology, Taipei Municipal Wan-Fang Hospital, Taipei Medical College, Taiwan.
Background:
There are high risks from general anesthesia and excessive bleeding associated with traditional liposuction using the dry or wet method. The blood loss has been estimated to be between 15% and 45%. The tumescent technique permits liposuction of more than 3,000 ml of fat totally by local anesthesia without sedation. The blood loss is reported to be less than 1% of aspirate.
Objective:
To examine the blood loss during liposuction using tumescent technique in Chinese patients compared with that of Caucasians as published in the literature.
Methods:
Hemoglobin values of patient's preoperative venous blood and infranatant of aspirate were measured in 45 consecutive cases of liposuction using the tumescent technique from May 1996 to June 1997.
Results:
A total of 30 patients completed the study. The average blood loss was estimated to be 1.08% of aspirate.
Conclusion:
From this study, we found the blood loss in Chinese patients is comparable with that in Caucasians. Tumescent liposuction is a safe dermatologic cosmetic surgical procedure without the need of blood transfusion and general anesthesia.