Liposuction.. How do you differentiate between complications and medical error?

Plastic surgery specialist, Hassan Al-Assaad, explains, in an interview with “Sky News Arabia”, the differences between complications and medical errors in liposuction operations, saying: “Unfortunately, there is often a confusion between complications (complications) and medical error, and therefore addressing the complications is a topic. frightening or irritating patients.

And he continued, “But it is the duty of every doctor to explain the negative results that can occur as a result of any surgery, in as much detail as possible, just as it does with regard to positive results.”

Al-Assaad added: “The medical error in surgery can be simplified and summarized in two things, namely, performing a surgical operation for a problem that does not exist, or performing a surgical procedure in a way that deviates from the sound surgical foundations, and they are completely related to the surgeon, while complications in surgery are completely similar to the side effects of medicines.”

He added, “If the patient takes medicine for the purpose of recovering from a disease, and the ideal result is recovery without a problem, but some patients may suffer from nausea, for example, or other symptoms, and as the side effects of medicines, any surgical procedure involves risks that may follow in some cases, It ranges from minor, such as bleeding, bruising, and temporary pain, to serious, such as tissue death and death.”

According to the plastic surgeon, the surgeon is doing everything in his power to reduce these complications, and advances in surgical techniques are reducing the risk.

He continued, “Although some laboratory tests indicate the presence of diseases that may increase the risk of surgery, there are unfortunately no tests that help us detect the possibility of all complications.”

He went on to explain: “Some complications are related to the method of performing the surgical procedure, as many surgeries can be performed in at least two ways, and each method has its advantages and disadvantages, and here the surgeon’s experience plays an important role in choosing the best method to solve the patient’s problem, for example, for body sculpting operations through suction. Grease, mixtures related to the process in general, and others related to the device used.

Al-Assaad summarized these mixtures as follows:

Bleeding: Bleeding leads to a few or many bruises (blue spots around the site of the operation), which recede within 2-6 weeks. In a few cases, a blood pool may occur at the site of the operation that leads to swelling in that place. This accumulation is called a hematoma and can be aspirated with a needle or left to heal spontaneous.

Edema: It is manifested by swelling in the area, or in distant areas, such as swelling of the legs when liposuction of the thighs and abdomen, and a collection of fluids called seroma may occur, the treatment of which is similar to the treatment of hematoma.

– the pain: If it occurs, it is moderate in severity, and it usually responds well to analgesics.

Sepsis: It is rare and usually treatable, and in rare cases it may be life-threatening.

Scars: Although the entry point of the needle is small, and its effect recedes within 6 months in most patients, it may be visible in some in a red and dome shape, and its color may change from the color of the surrounding skin and remain visible in a few cases.

– asymmetry The normal body is completely asymmetric, and a slight asymmetry may remain after the injection and does not affect the general appearance. If the asymmetry is in excess of the acceptable limit, it can be corrected in a later session.

Fabric wrinkle: The surgeon does his best to make liposuction regular, but it is difficult to apply this in practice, yet the final appearance is usually good, and some patients may get wrinkles in the skin of the liposculpture area, which can be corrected in a later session.

Tissue necrosis: In very rare cases, the perfusion of the skin may be affected due to liposuction and bruising of the superficial blood vessels, which leads to ischemia of the skin above, and its color and texture change, and it returns later to its normal appearance. In the worst cases, the skin may die and need surgery to remove it, and this leaves permanent scars.

Vascular obstructionIn very rare cases, the fat may block a blood vessel at the injection site or move with the blood to a further point, and this may cause tissue necrosis and thus blackening of the area and the need for surgical treatment, knowing that the distortion is permanent and cannot be removed, and if it moves to distant areas As lung, it may cause life-threatening conditions.

Burns: It usually occurs when suctioning using heat-generating suction methods, such as laser and ultrasound suction, especially when superficial liposuction is needed, and it ranges from minor burns to death of the skin.

Abdominal or chest perforation: It is possible that the suction needle penetrates the muscles in the chest or abdomen to cause damage that becomes smaller or larger depending on the affected structure (chest wall only, lung, liver, intestine), which is rare, and its probability increases when using high-powered devices.

Neurological injury: The nerves in the suction area may be injured, causing a numb sensation that gradually subsides over the six months following surgery, and may last for life.

This injury is more common when using a laser, or traditional suction, but using cutting needles.

The plastic surgery specialist concluded his speech to “Sky News Arabia”, saying: “There is always the possibility of unexpected complications outside this list as well, which cannot be predicted.”

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