Complication of liposuction surgery with digestive perforation

Liposuction is the most performed cosmetic surgery procedure in the world, ahead of rhinoplasty and breast augmentation. It allows to suck the excess fat cells accumulated in certain areas (thighs, stomach, back, arms, love handles, calves, ankles, knees…). A surgical technique created by Doctor Yves Gérard Illouz in 1977, liposuction is by far the only reliable means of effectively removing localized excess fat that is resistant to diets and sports activities. Whatever the origins of the fat deposits removed, the results are in the vast majority of cases very satisfactory and definitive. What does abdominal liposuction consist of? This intervention consists in introducing, via small incisions, small cannulas (3-4 mm) in rounded end (not sharp) foam perforated at their ends with several orifices. Connected to a closed circuit with negative pressure, they allow a harmonious non-traumatic aspiration of excess fat cells. Knowing that these cells (adipocytes) do not have the ability to multiply, the result will be definitive. The pain after liposuction of the abdomen is moderate and does not usually require stronger drugs than pain relievers and fever reducers. The intensity of the pain is similar to body aches. It is more intense when the operated area is affected. In any case, there is some discomfort to be experienced during the early stages. The risk that a liposuction cannula can accidentally enter the abdominal cavity and cause intestinal injury is very low. If a liposuction cannula causes perforation of the intestine, under general anesthesia, it might not be diagnosed immediately. If the delay goes beyond 18 to 24 hours, there is a serious risk of a life-threatening infection. In contrast, with liposuction by local anesthesia, a traumatic bowel perforation will be diagnosed immediately and a general surgeon can repair the injury before there is a serious infection. An abdominal hernia near the navel, which is the abnormal exit of an organ contained in the abdomen through a natural orifice, increases the risk of accidental entry into the abdominal cavity through the liposuction cannula. To eliminate this increased risk, an abdominal hernia may be repaired by a surgeon several weeks before abdominal liposuction. As such, an abdominal hernia cure is a straightforward procedure that can often be performed under local anesthesia. .

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