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Use of a tourniquet with and without adrenaline reduces blood loss during liposuction for lymphoedema of the arm.

Wojnikow, Slawomir; Malm, Johan LU and Brorson, Håkan LU (2007) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery1987-01-01+01:002010-01-01+01:00 41(5). p.243-249
Abstract
Sixty-two patients with lymphoedema of the arm after mastectomy and with hypertrophy of the adipose tissue were consecutively treated by liposuction in three different ways. The first group was operated on without the use of a tourniquet. In the second group, liposuction extended up to the distal edge of the tourniquet, and then into the proximal upper arm previously covered by the tourniquet using the 'dry' technique. Treatment of the third group was identical to that of the second one, but the area covered by the tourniquet was treated by the tumescent technique. Eighteen patients who did not have lymphoedema either treated or not treated with adrenaline served as a reference group to see how blood transfusions varied with various... (More)
Sixty-two patients with lymphoedema of the arm after mastectomy and with hypertrophy of the adipose tissue were consecutively treated by liposuction in three different ways. The first group was operated on without the use of a tourniquet. In the second group, liposuction extended up to the distal edge of the tourniquet, and then into the proximal upper arm previously covered by the tourniquet using the 'dry' technique. Treatment of the third group was identical to that of the second one, but the area covered by the tourniquet was treated by the tumescent technique. Eighteen patients who did not have lymphoedema either treated or not treated with adrenaline served as a reference group to see how blood transfusions varied with various volumes of aspirate. Using a tourniquet significantly reduced blood loss and the number of transfusions, which was further reduced by tumescence. In the historical reference group, the number of blood transfusions increased as the volume of aspirate increased, and further if no adrenaline was added. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
lymphoedema, blood transfusion, liposuction, tourniquet, breast cancer, tumescence, blood loss, Lymphedema
in
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery1987-01-01+01:002010-01-01+01:00
volume
41
issue
5
pages
243 - 249
publisher
Taylor & Francis
external identifiers
  • wos:000250808400004
  • pmid:17886128
  • scopus:35648983558
ISSN
1651-2073
DOI
10.1080/02844310701546920
language
English
LU publication?
yes
id
e4fb5086-1021-4e73-83eb-3a43dfe78c8d (old id 839021)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/17886128
date added to LUP
2009-07-27 17:03:45
date last changed
2017-11-30 08:23:42
@article{e4fb5086-1021-4e73-83eb-3a43dfe78c8d,
  abstract     = {Sixty-two patients with lymphoedema of the arm after mastectomy and with hypertrophy of the adipose tissue were consecutively treated by liposuction in three different ways. The first group was operated on without the use of a tourniquet. In the second group, liposuction extended up to the distal edge of the tourniquet, and then into the proximal upper arm previously covered by the tourniquet using the 'dry' technique. Treatment of the third group was identical to that of the second one, but the area covered by the tourniquet was treated by the tumescent technique. Eighteen patients who did not have lymphoedema either treated or not treated with adrenaline served as a reference group to see how blood transfusions varied with various volumes of aspirate. Using a tourniquet significantly reduced blood loss and the number of transfusions, which was further reduced by tumescence. In the historical reference group, the number of blood transfusions increased as the volume of aspirate increased, and further if no adrenaline was added.},
  author       = {Wojnikow, Slawomir and Malm, Johan and Brorson, Håkan},
  issn         = {1651-2073},
  keyword      = {lymphoedema,blood transfusion,liposuction,tourniquet,breast cancer,tumescence,blood loss,Lymphedema},
  language     = {eng},
  number       = {5},
  pages        = {243--249},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery1987-01-01+01:002010-01-01+01:00},
  title        = {Use of a tourniquet with and without adrenaline reduces blood loss during liposuction for lymphoedema of the arm.},
  url          = {http://dx.doi.org/10.1080/02844310701546920},
  volume       = {41},
  year         = {2007},
}