Herrán-Motta FS, Orozco-Bustos MD

Language: Spanish
References: 10
Page: 134-139
PDF size: 263.15 Kb.

ABSTRACT

Fatal complications after liposuction are rarely documented in the medical literature. The purpose of this article is to present the case of a 38-year-old female patient who underwent trunk liposuction with fat transfer to the buttocks and breast augmentation by a physician trained in aesthetic medicine. Symptomatology began within the first 24 postoperative hours after, but it was not until the sixth day, an exploratory laparotomy with colostomy and open abdomen was performed, which later in the management of the open abdomen, 14 days after surgery, a perforation in pre stomal mirror was detected; so, a new intestinal resection and ileostomy were performed. She had necrotizing fasciitis communicating to the lumbar and gluteal region. The open abdomen was initially handled with Bogota bag, then with ABTHERA™ therapy and finally with VAC^® therapy with polyvinyl sponge in contact with intestinal loops and silver sponge. Her management was performed in three different hospitals. The patient died 38 days after she was operated on due to septic shock, abdominal sepsis, soft tissue infection and bacterial pneumonia. The factors attributed to this type of complication are the surgeon's lack of experience and other patient-related factors.

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