YOU ARE NOW CONNECTED TO THE TOXLINE (1981 FORWARD, NON-ROYALTY) FILE. ==LIPECTOMY OF LIPOMA== 4 AUTHOR Samdal F AUTHOR Aasen AO AUTHOR Mollnes TE AUTHOR Hog~asen K AUTHOR Amland PF TITLE Effect of syringe-assisted liposuction on activation of cascade systems and circulating cells when using the superwet or tumescent technique. SOURCE Ann Plast Surg; VOL 35, ISS 3, 1995, P242-8 ABSTRACT Although liposuction is considered to be a relatively safe procedure, several deaths and nonfatal serious complications such as sepsis, toxic shock syndrome, thromboembolic disease, fat emboli, and adult respiratory distress syndrome have been reported. In the present study, we have investigated a wide variety of components belonging to the coagulation, fibrinolytic, plasma kallikrein-kinin, and complement systems in 22 patients undergoing syringe-assisted liposuction using the superwet or tumescent technique. In spite of a relatively high mean aspirate volume (2,648 ml), only small changes over time well within the normal range were found for the different parameters. In nine randomly selected patients, we also measured interleukin 6 and tumor necrosis factor-alpha. The size of the interleukin-6 peaks was found to be of the same order of magnitude as those measured in patients undergoing hernia repair or percutaneous cholecystectomy but lower than those in patients undergoing open cholecystectomy, breast reduction, or breast reconstruction. Tumor necrosis factor-alpha was not detected in any sample in any of the patients. We conclude that syringe-assisted liposuction with the present aspirate volumes using the superwet or tumescent technique represents a small to moderate surgical trauma without clinical significant activation of the cascade systems. YOU ARE NOW CONNECTED TO THE MEDLINE (1994 - 97) FILE. 3 AUTHOR Schuffenecker J TITLE [Should lipoma be removed by liposuction? Apropos of a case of grade 1 myxoid liposarcoma of the shoulder] SOURCE Ann Chir Plast Esthet 1996 Feb;41(1):98-102 ABSTRACT Liposuction of a big lipoma--mostly on the chest and close to the upper limbs--is a fairly neat solution for such areas, which usually do not heal very well. The author reminds us of the fact that some liposarcomas may have the same features as a benign lipoma on inspection and palpation, and histology ("lipoma-like"). He recommends systematic biopsies and possibility grozen-section examination. 4 AUTHOR Halachmi S AUTHOR Moskovitz B AUTHOR Calderon N AUTHOR Nativ O TITLE The use of an ultrasonic assisted lipectomy device for the treatment of obstructive pelvic lipomatosis. SOURCE Urology 1996 Jul;48(1):128-30 ABSTRACT Pelvic lipomatosis is a rare disease of unknown etiology characterized by overgrowth of pelvic fat. We describe a 60-year-old man with pelvic and retroperitoneal lipomatosis causing severe urinary obstruction with massive hydroureteronephrosis. The diagnostic procedure and the management of the patient is described, emphasizing the value of the Ultrasonic Assisted Lipectomy device in performing ureterolysis. 9 AUTHOR Hallock GG TITLE Endoscope-assisted suction extraction of lipomas. SOURCE Ann Plast Surg 1995 Jan;34(1):32-4 ABSTRACT The blunt technique of suction-assisted lipectomy partially evolved while proving to be an efficient, albeit blind, method for the removal of lipomas. Larger or poorly encapsulated tumors were acknowledged to be at a greater risk for recurrence probably because of an unrecognized residua. Just as liposuction has enhanced body-contour surgery because of the potential for smaller and fewer scars hidden in strategically camouflaged locations, the identical advantages are possible for liposuction extraction of lipomas, with a greater assurance for their entire removal via direct visualization using a surgical endoscope.