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Liver Trauma During Combined Liposuction and Abdominoplasty: A Rare but Potentially Lethal Complication

Gialamas, Eleftherios ; Oldani, Graziano ; Modarressi, Ali ; Morel, Philippe ; Toso, Christian

In: Aesthetic Surgery Journal, 2015, vol. 35, no. 7, p. NP211-NP215

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    Title
    • Liver Trauma During Combined Liposuction and Abdominoplasty: A Rare but Potentially Lethal Complication
    Author
    • Gialamas, Eleftherios. Geneva University Hospitals, Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva, Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva, Switzerland, Switzerland
    • Oldani, Graziano. Geneva University Hospitals, Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva, Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva, Switzerland, Switzerland
    • Modarressi, Ali. Geneva University Hospitals, Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva, Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva, Switzerland, Switzerland
    • Morel, Philippe. Geneva University Hospitals, Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva, Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva, Switzerland, Switzerland
    • Toso, Christian. Geneva University Hospitals, Dr Gialamas is a Resident, Dr Oldani is the Registrar, and Drs Morel and Toso are Professors, Division of Abdominal Surgery, Department of Surgery, Faculty of Medicine, Geneva, Dr Modarressi is an Assistant Professor, Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Geneva, Switzerland, Switzerland
    Document Type
    • Postprint
    Language
    • English
    Published in
    • Aesthetic Surgery Journal, 2015, vol. 35, no. 7, p. NP211-NP215. Oxford University Press
    Other Version
    Classification
    • Health
    OAI-PMH Identifier
    • oai:doc.rero.ch:303315
    Summary
    Liposuction is a well-established procedure that is generally safe. However, rare complications can occur. The authors report on a 38-year-old woman who underwent combined abdominoplasty and liposuction at a private clinic. Four hours after the procedure, severe hypovolemic shock developed and required emergency transfer to a tertiary-care center. After primary fluid resuscitation, abdominal ultrasonography and computerized tomography revealed severe right-sided liver trauma, with active bleeding and free intra-abdominal fluid. Two attempts at right hepatic artery embolization failed to fully control the bleeding, and surgical hemostasis was required. After a 2-week hospitalization, the patient was discharged, and she returned to work 3 months later. Although it appears that this is the first reported case of liver trauma during liposuction, this potential complication should be kept in mind and identified early to permit efficient and effective management. Level of Evidence 5 Risk