Liposuction surgery uses high vacuum attached to special probes known as cannula into the fleshy parts of the body. The fat cells are then sucked out thereby creating a contour to the body part. Liposuction surgery is also referred to as lipoplasty or lip sculpture. This procedure is often resorted to by those suffering from morbid obesity. Some persons are at higher risk of complications due to liposuction surgery. Those with a history of lupus, clotting disorders, diabetes, heart or lung disease or hypertension or endocrine disorders must take suitable medical guidance before resorting to liposuction surgery.
Tumescent liposuction was a major advancement in the liposuction surgical process. This breakthrough process involves filling the fatty layer of skin with a diluted solution of local anesthesia (lidocaine) and other medication prior to the surgical process. The liquid causes the compartments of fat to become swollen or 'tumescent'. This process allows the plastic surgeon to safely and effectively remove the excess layers of fat with little discomfort. Large volumes of a local anesthetic along with epinephrine drug are used to shrink capillaries and thereby minimize blood loss. The skin is helped in the contraction and healing process by an elastic compression garment. Tumescent liposuction can be power-assisted by a mechanical cannula so that fatty tissues are removed with increased precision. This type of precision liposuction is generally used on the face, neck, arms and calves.
Benefits of tumescent liposuction are reduced bleeding, fewer skin irregularities and consequently faster recovery. This surgical liposuction procedure can be done sans costly hospital stays and therefore exorbitant charges can be avoided. Sometimes side effects such as lumpiness and dimpling of the skin are seen. Another rare complication is pulmonary edema, which results in fluid accumulation in the lungs.
Lower Extremity Edema
Edema refers to a condition that is often associated with accumulation of fluids in the tissues. It is predominantly caused because of an inflamed or infected tissue. The nature and type of edema caused can depend on various reasons such as trauma, infections or hereditary diseases. Edema is prominently noticed in few areas of the body especially in the legs. In most cases edema is also associated with an existing cardiac or renal condition. The edema associated with vital organs is because of fluid retention. Edema of the lower extremities is often associated with disorders of the vital organs or sometimes because of any prolonged activity such as standing or even sitting.
Fluid electrolyte balance is an important factor in understanding various edematous conditions, especially pertaining to lower extremities. In many cases, it is because of an inflammatory response to the trauma caused to a tissue or an internal organ. Other factors such as urinary infections and cystitis, which are common renal diseases, cause edema in the legs. It is essential to classify the type of edema in order to arrive at an appropriate diagnosis and treatment. Physicians upon general examination and history of the patient can evaluate the edema in to two - pitting and non-pitting.
Pitting edema of the lower extremities is often associated with indentation to the edematous region for a specific amount of time upon applying pressure. Non-pitting edema does not show indentation. Characteristic pitting edema is generally bilateral in nature. Infections caused by Streptococcus especially rheumatoid arthritis cases present prominent edematous appearances. Sometimes, Gout's disease and cellulitis cause edema of the legs. The physiology associated with all these medical conditions have common diagnostic affirmations related to fluid electrolyte balance. Another important factor associated with edema is the protein intake. Higher protein intake can lead to increased uric acid levels causing edema. Decreased protein intake in conditions such as nephrotic syndrome and starvation can lead to edema.
The production of endothelin protein is prominent in edematous conditions. The relevance to this protein production is an important factor for the onset of hydrostatic condition leading to increase systolic pressure causing arterial vasoconstriction. A cascade of metabolic changes occur because of this condition leading to disturbances in renin Angiotensin mechanism and also increased capillary permeability.
The common treatment options for treating edema are the administration of diuretics and vasodilators. In case of infections of bacterial and fungal origin, antibiotics are given to facilitate prophylaxis. Coumadin and Flavonoids are used as therapeutics in addition to vasodilators. Surgical interventions such as liposuction also benefit the patient to a larger extent.
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Bibliography / Reference
Collection of Pages - Last revised Date: February 3, 2023