The management of blood loss during liposuction for secondary lymphedema of lower extremities

VernacularTitle:下肢继发性淋巴水肿患者脂肪抽吸术中失血的处理
Author: Wanchun SU ¹ ; Zimin ZHAO ; Yuguang SUN ; Song XIA ; Wenbin SHEN
Author Information

1. 首都医科大学附属北京世纪坛医院淋巴外科，北京100038
Keywords: Lymphedema; Suction; Blood loss; Blood transfusion
From: Chinese Journal of General Surgery 2023;38(11):805-808
CountryChina
Language:Chinese
Abstract: Objective:To handle blood loss during liposuction for secondary lymphedema of lower extremities in patients with secondary lymphedema.Methods:The clinical data of 214 patients with secondary lymphedema of the lower extremities undergoing liposuction at Department of Lymphatic Surgery, Capital Medical University Affliated Beijing Shijitan Hospital from Sep 2018 to Jan 2020 were retrospectively analyzed.Results:There were 209 females and 5 males. The average fat aspiration was (2 934.58±1 114.83) ml, the average blood loss was (986.04±425.16) ml, 117 patients were transfused, including autologous transfusion in 90 patients, 15 patients received allogeneic blood, and 12 patients received autologous plus allogeneic blood. The disease phase, operative time and fat aspiration were positively correlated with blood loss, and were independent risk factors affecting blood loss.Conclusion:Liposuction for secondary lymphedema of the lower extremity is an important factor leading to anemia.