Melvin A. Shiffman, Alberto Di Giuseppe's Liposuction: Principles and Practice PDF

By Melvin A. Shiffman, Alberto Di Giuseppe

ISBN-10: 3662489015

ISBN-13: 9783662489017

ISBN-10: 3662489031

ISBN-13: 9783662489031

This fantastically illustrated booklet covers all elements of liposuction: anatomy, pathology, biochemistry, preoperative care, apparatus, the whole variety of strategies, problems, postoperative care, results, lipedema, and clinical felony features. in comparison with the profitable first variation, the textual content has been generally up to date and plenty of extra chapters integrated, with specific recognition to lately brought options. whereas new expertise is helping to enhance effects, event, care, and talent at the a part of the beauty physician are crucial if optimum effects passable to the sufferer are to be completed. The participants to this booklet have expended a lot effort and time to provide the beauty and plastic health practitioner with as a lot details as attainable at the options and makes use of of liposuction for the needs of beauty and non-cosmetic surgical procedure. Liposuction: ideas and Practice can be of worth for citizens and fellows and for practising and hugely skilled surgeons in cosmetic surgery, plastic surgery, basic surgical procedure, and different subspecialties.

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Extra info for Liposuction: Principles and Practice

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1 Personnel One of the most critical elements of a successful surgical outcome is the personnel assisting the surgeon. Qualified and experienced assistants may serve as valuable resources, potentially reducing morbidity and improving efficiency of the operating room [30, 31]. With an office-based operating room, the surgeon is responsible for selecting the operating room personnel. An anesthesiologist or a certified nurse anesthetist (CRNA) may administer anesthesia. The surgeon may prefer to perform the surgery using exclusively local anesthesia without parenteral sedation, especially in limited procedures such as liposuctions with the tumescent technique [32].

For these patients CPAP should be continued in the postoperative recovery preferably with the patient’s own CPAP equipment [145]. Postoperatively, patients with 13 any history of SAS should not be discharged if they appear lethargic or somnolent [146]. These patients should not be discharged until oxygen saturation is maintained on room air. Patients with severe OSA should not be discharged to an unmonitored setting for the first 24 h [145]. 7 Malignant Hyperthermia Susceptibility Patients with susceptibility to malignant hyperthermia (MH) can be successfully managed on an outpatient basis after 4 h of postoperative monitoring [147].

In fact, patients’ risk of perioperative complications may actually increase if smoking is stopped immediately prior to surgery. A full 8 weeks may be required to successfully reduce perioperative pulmonary risk [132]. If the physical examination of asthmatic patients reveals expiratory wheezing, conventional wisdom dictates that potentially reversible bronchospasm should be optimally treated prior to surgery. Therapeutic agents include inhaled or systemic, selective beta-adrenergic receptor type 2 agonists such as albuterol (Ventolin®, Glaxo, Proventil®, Proair®, Teva) as a sole agent or in combination with anticholinergic such as ipratropium (Atrovent®, Boehringer Ingelheim) and locally active corticosteroid such as beclomethasone dipropionate (Beclovent®, Vanceril®) medications [133].

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Liposuction: Principles and Practice by Melvin A. Shiffman, Alberto Di Giuseppe


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