背景:臀骨脂肪移植,俗称巴西对接电梯,近年来,人气大幅上升。尽管增加了,还观察到与手术相关的潜在并发症,有必要彻底审查当前的做法和结果。
方法:本研究通过2022年4月发送的详细调查收集了多学科外科医生小组的经验。这项研究旨在阐明这些外科医生所采用的做法,他们遇到的并发症的频率和类型,以及他们程序的总体结果。
结果:在接受调查的100名外科医生中,86回答研究发现肺脂肪栓塞(PFE)是最严重的并发症,由于PFE导致的死亡记录为1:23,878。最常见的并发症是吸脂部位血清肿,总体比率为2.45%。尽管整形外科医生和非整形外科医生在并发症方面没有总体差异,整形外科医生被发现出现抽脂血清肿的几率增加了六倍。调查还显示,实践差异很大,特别是关于脂肪的制备方法,收件人现场准备,抗生素使用,和术后护理方案。
结论:尽管已知并发症,在外科医生中观察到继续进行这些手术的强烈趋势,证明程序的持续需求和接受。这项研究强调了持续监测和研究以提高臀脂移植的安全性和有效性的必要性。从执业外科医生收集的经验和数据提供了宝贵的见解,为精炼技术铺平道路,建立共识,并促进与患者就手术的风险和收益进行知情讨论。
方法:本期刊要求作者为每篇文章分配一定程度的证据。为了完整描述这些循证医学评级,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: Gluteal fat grafting, colloquially known as Brazilian Butt Lift, has experienced a significant rise in popularity in recent years. Despite this increase, potential complications associated with the procedure have also been observed, necessitating a thorough examination of the current practices and outcomes.
METHODS: This study collected experiences of a multidisciplinary group of surgeons through a detailed survey sent in April 2022. This study aimed to shed light on the practices employed by these surgeons, the frequency and types of complications they encounter, and the overall outcomes of their procedures.
RESULTS: Of the 100 surgeons surveyed, 86 responded. The study identified that pulmonary fat embolism (PFE) was the most serious complication, with fatality due to PFE recorded at a rate of 1:23,878. Liposuction site seromas were the most common complications, with an overall rate of 2.45%. Although there were no overall differences in complications between plastic and non-plastic surgeons, plastic surgeons were found to have a sixfold increase in the odds of experiencing a liposuction seroma. The survey also revealed substantial practice variations, particularly regarding fat preparation methods, recipient-site preparation, antibiotic use, and postoperative care protocols.
CONCLUSIONS: Despite known complications, a strong tendency to continue performing these procedures was observed among surgeons, demonstrating the sustained demand and acceptance of the procedure. This study underscores the need for continued surveillance and research to enhance the safety and effectiveness of gluteal fat grafts. The experiences and data gathered from practicing surgeons provide valuable insights, paving the way for refining techniques, building consensus, and facilitating informed discussions with patients about the risks and benefits of the procedure.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .