2017년 3월 13일 월요일

Liposuction

Liposuction

The state that absorbs fat with a cannula

The liposuction (しぼうきゅういん) refers to an operation to remove subcutaneous fat with a special absorption pipe. I am used for a person repeating a person troubled with subcutaneous fat, a person, diet and the rebound that want to take the fat partially.

Table of contents

Method

I insert a pipe (liposuction pipe, cannula) in the place that wants to reduce fat and absorb it in negative pressure and am eliminated. A fat resection was mainstream before fat vacuum aspiration becomes popular, but, by the reason of a wound being small, becomes mainstream as a method to reduce fat now.

I inject the solution (チュメセント anesthesia liquid) with a hemostasis effect and the painkilling effect before absorption in the absorption part and usually absorb fat with an absorption pipe. This conventional method is called the WET method. The burden on body was big to directly suck the fat which was hard (is the same) by this conventional method, and the feel of a material that skin became rough worsened after art, and there were many demerits, but I have been improved very much recently by a medical advance (follows). But the final finish is important for the new technique, but it is still a fact to be greatly influenced by the technique of the practiced hand.

Progress of the liposuction technology

  • Body-style supersonic wave liposuction (the first generation supersonic wave)
I irradiate fat with a direct supersonic wave and, using a pipe emitting a supersonic wave from the tip, destroy a fat cell and absorb it. The supersonic output was strong, and the early thing injured skin from the inside (burn), and inflammation might be prolonged. Approximately 70% of pannicular removal is possible.
  • Outside the body expression supersonic wave liposuction (second generation supersonic wave)
I guess a supersonic wave right from the skin surface and soften fat and absorb it with a cannula. Because there were fewer burdens to a body than the pure first WET method, it spread. However, there were many demerits such as having possibilities to burn the epidermis when I guessed a supersonic wave right. Approximately 70% of pannicular removal is possible.
  • PAL (power assist) liposuction
A method to make it easy that cannula (absorption pipe) in itself vibrates and crushes fat, and to absorb it. Hand peace is big, and a lot of difficult points are hardly employed now, too.
  • Elco near laser liposuction
I irradiate the laser beam called the Elco near laser from the skin surface for several minutes and soften a fat cell and absorb it with a cannula. Because fat softens, there are fewer burdens to a body than an early method. A low power laser machine to use the Elco near laser for liposuction. The FDA authorization. Approximately 70% of pannicular removal is possible.
  • Body jet liposuction
I disintegrate and absorb fat in a jet current going out of the point of the cannula. There are few burden on neighboring organizations, burdens on body to perform separation (a fat cell interval and adipose tissue and muscular tissue) of an organization by power of the water. The FDA authorization. Approximately 70% of pannicular removal is possible.
I let you make emulsification, the connective tissue firm again delicacy and absorb fat by the ベイザー (VASER) wave that is special vibrational energy to go out of the tip of the cannula. A ベイザー wave includes the hemostasis effect, too, and there are few burdens to a body. It can be eliminated to the fat of the shallow layer right under the skin by the liposuction using the ベイザー wave safely, and there is the tightening effect of the skin, too. The FDA authorization. Approximately 90% of pannicular removal is possible.

Influence on health by the liposuction

  • Fatal accident
  1. The liposuction is an act with the risks for the life [1]. Though the 80s did not have it under the management of the anesthesiologist, an anesthesia accident and a bleeding large quantity were the main causes of the fatal accident because I absorbed it without using a styptic under general anesthesia. By the adoption of the チュメセント method, the accident by the bleeding large quantity decreased, but a fatal accident by the combination of local anesthesia (lidocaine in particular) and styptic (adrenalin in particular) comes to grow (respiratory failure and heart failure by the surplus dosage and anaphylactic shock). In addition, I came to produce a fatal accident due to thrombosis, the respiratory failure due to fat emboli because quantity of the fat which I could absorb by the チュメセント method increased. Furthermore, the high function (PAL, jet current, supersonic wave) of the cannula which unfolded rather facilitates the peritoneum damage to depend on a cannula afterwards and leads to it if I bring a fatal accident due to an infectious disease, the large quantity bleeding by the damage such as peritoneum or the bowels.
  2. The accident that the woman who received a liposuction operation in Shinagawa vanity surgery Ikebukuro House of Toshima-ku, Tokyo in 2009 died. I damage the abdominal wall and the bowels of the woman, and it is told to have let you die by dehydration two days later by inappropriate cannula operation. Conviction wants to give you the specialist in performance of an operation under an accusation of professional negligence resulting in death in August, 2012 (in imprisonment June, 1 stay of execution three years). Cause agency investigation one section police inspector is a local public service worker method violation punishment, and, in conjunction with a case of Naoko, a prison sentence in penal servitude October is announced at the first and second trials under an accusation of saying that I handed the Metropolitan Police Department alumnus who was a surgery advisor the copy of the investigation document in those days (settled by final appeal rejection on November 21, 2012).
  • General risk to depend on surgical operation itself
  1. Infectious disease (by the damage of the internal organization with the absorption of the burn with measures, the cannula insertion, the adipose tissue)
  2. Bleeding, the damage (same as above, the main cause of the liposuction operative death accident) for the again nerve skin, organization, organ
  3. Fat embolism (a minute fat lump isolated by absorption lets the blood vessel clog up as a clot)
  4. Shock symptom and cardiac arrest, disturbance of consciousness, convulsions, malignant high heat, organization necrosis (due to an anesthetic, a hemostasis overdose and allergy) by it
  5. An absorption result of the fat is not beautiful (skin etc. of the or irregularities uneven absorption part in itself)
  • General influence and risk to depend on pannicular decrease
  1. Breast enlargement (this can become the problem in the men in particular) after the abdominal fat removal.
  2. Increase (the health problem with the obesity is caused by both) of internal organs fat, the ectopic fat.

It is known that the liposuction does not bring improvement of the metabolic syndrome regardless of the decrease in weight loss and fat cell count by it at all and is not solved the medical problem due to the obesity (the significance is limited to a beauty purpose purely). In addition, the point where surplus calories-in are accumulated as fat can produce subcutaneous fat, internal organs fat, the problem with metastasizing to ectopic fat of the part where a fat cell is not removed by removing a subcutaneous fat cell.

Allied item

Footnote

  1. Consumers trouble government public information online of the ^ beauty health care service

Outside link

This article is taken from the Japanese Wikipedia Liposuction

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