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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 orcid (2007) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 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 In the historical reference group, the number of blood transfusions increased as the volume of aspirate increased, and further if no adrenaline was added.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
; and
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 Surgery
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
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Translational Medicine (013017500), Emergency medicine/Medicine/Surgery (013240200), Surgery Research Unit (013242220), Clinical Chemistry, Malmö (013016000)
id
e4fb5086-1021-4e73-83eb-3a43dfe78c8d (old id 839021)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/17886128
date added to LUP
2016-04-01 15:55:17
date last changed
2022-05-16 01:49:48
@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}},
  keywords     = {{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 Surgery}},
  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}},
  doi          = {{10.1080/02844310701546920}},
  volume       = {{41}},
  year         = {{2007}},
}