Bleeding, Surgery
Conditions
Keywords
bleeding, abdominoplasty, Liposuction, Hemoglobin
Brief summary
To evaluate the effect of using a mathematical model developed through pre- and post-surgical hemoglobins to predict the volume to aspirate in patients undergoing primary body liposuction.
Detailed description
Postoperative anemia is a significant risk associated with liposuction, yet the scientific literature lacks detailed data on blood loss relative to the volume of fat removed. To address this, the investigators aimed to develop a mathematical formula predicting the decrease in postoperative hemoglobin (Hb post) based on preoperative hemoglobin (Hb pre), Body Mass Index (BMI), and the volume of fat suctioned. An observational, analytical, non-experimental, prospective study was conducted on liposuction patients to validate this predictive formula. Statistical analysis using Spearman's test showed that the results were statistically significant (P \< 0.05).
Interventions
Primary or secondary liposuction is performed by the surgical staff. The study analyzed variables including weight, height, BMI, preoperative hemoglobin, and aspirated volume. Additionally, preoperative hemoglobin (Hb), hematocrit (Hto), platelets, prothrombin time (Tp), partial prothrombin time (TpT), and International Normalized Ratio (INR) were evaluated. Hb and Hto levels were reassessed 24 hours post-surgery to monitor changes.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients of indistinct gender, operated on at the Centro Médico Nacional de Occidente for primary liposuction. * Age between 18 to 60 years old * Liposuction technique used: Super wet or Tumescent. * Surgical procedure on any area of the body * Large volume liposuction (\> 5 L) * Use of regional anesthesia
Exclusion criteria
* Presence of any of the following comorbidities: Systemic Arterial Hypertension or Diabetes Mellitus type 2. * Performance of 2 or more procedures * Use of medications (NSAIDs and/or coadjuvants that modify coagulation times).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bleeding Predicting Method | 12 months | Mathematical model based on pre-and post-surgical hemoglobins to further predict estimated bleeding |
Countries
Mexico