Fatal outcomes from liposuction: census survey of cosmetic surgeons.

摘要: Troubling reports of adverse outcomes after liposuction prompted a census survey aesthetic plastic surgeons. All 1200 actively practicing North American board-certified ASAPS members were polled by facsimile, then mail, regarding deaths liposuction. Patient initials together with case summaries precluded data replication yet assured patient anonymity and preserved surgeon privacy. Incomplete returns or ambiguous findings authenticated, where feasible, direct follow-up. Total number lipoplasties performed surgeons was interpolated from the ASPRS procedure database for time frame 1994 to mid-1998. Lacking reliable annual volume estimates, non-ABPS excluded actual mortality rate computation but included in cause-of-death ranking statistics. Responding (917 1200) reported 95 uniquely authenticated fatalities 496,245 lipoplasties. In this survey, computed 1 5224, 19.1 per 100,000. A virtually identical 20.3 100,000 obtained 1997 random commissioned parent society. Pulmonary thromboembolism remains as major killer (23.4+/-2.6 percent); lacking consistent medical examiners' toxicology data, putative role high-dose lidocaine cardiotoxicity could not be ascertained. Where so stated, many occurred during first night discharge home; prudence suggests vigilant observation residual "hangover" sedative/anesthetic drugs lengthy procedures. Taken together, these two independent surveys peg late 1990s at about 20 100,000, every 5000 Set beside 16.4 fatality rates U.S. motor vehicle accidents, is an altogether benign procedure. We do have comparable non-ABPS-certified physicians.