Volume 22, Issue 1 (Spring 2025)                   Sci J Iran Blood Transfus Organ 2025, 22(1): 44-53 | Back to browse issues page

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Ranjbar A, Farazmehr K, Shojaei P. Investigating the Need for Blood Transfusion in Abdominoplasty and Liposuction Surgeries Under General Anesthesia in Farhikhtegan Hospital in 1401 and 1402. Sci J Iran Blood Transfus Organ 2025; 22 (1) :44-53
URL: http://bloodjournal.ir/article-1-1553-en.html
Investigating the Need for Blood Transfusion in Abdominoplasty and Liposuction Surgeries Under General Anesthesia in Farhikhtegan Hospital in 1401 and 1402
Adnan Ranjbar , Kourosh Farazmehr , Parisa Shojaei *
Keywords: Abdominoplasty, Liposuction, Blood Transfusion, Anesthesia, Plastic Surgery, Hemoglobins
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Sci J Iran Blood Transfus Organ 2025; 22 (1): 46-55
Original Article
 
Investigating the need for blood transfusion in
abdominoplasty and liposuction surgeries under general anesthesia in Farehikhetgan Hospital in 1401 and 1402

Ranjbar A.1, Farazmehr K.1, Shojaei P.2



1Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2Department of Community and Preventive Medicine, Social Determinants of Health Research Center, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran



Abstract
Background and Objectives
The necessity of blood transfusion in abdominoplasty and liposuction surgeries under general anesthesia is one of the important considerations for surgical planning and patient safety. This study investigated the need for blood transfusion in abdominoplasty and liposuction surgeries under general anesthesia.

Materials and Methods
This descriptive-cross-sectional study included 107 patients at Farhikhtegan Hospital during 1401 and 1402 who underwent the aforementioned surgeries. Data were collected through direct observation, intraoperative data recording, and review of all files using a researcher-made checklist.

Results
The mean age of the participants was 42.3 ± 11.5 years, of which 105 (98.13%) were female and 2 (1.87%) were male. The results showed that 60.7% of the patients did not require blood transfusion, while 39.3% of the patients required one unit of blood. This study also examined the relationship between intraoperative fluid volume and preoperative hemoglobin, type of surgery, duration of anesthesia, risk level, and presence of underlying diseases. The findings indicate that patients with lower hemoglobin levels require more blood transfusions.

Conclusions  
Overall, the results indicate that careful control of hemoglobin and intraoperative fluid management can help reduce the need for blood transfusion and improve clinical outcomes in these surgeries. This study emphasizes the importance of careful preoperative patient assessment and optimal fluid and blood transfusion management in cosmetic surgeries.

Key words: Abdominoplasty, Liposuction, Blood Transfusion, Anesthesia, Plastic Surgery, Hemoglobins




Received: 27 Aug 2024
Accepted:15 Mar 2025



Correspondence: Shojaei P., PhD in social determinants of health, Associate Professor of Department of Community and Preventive Medicine, Social Determinants of Health Research Center, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
P.O.Box: 193951495, Tehran, Iran. Tel: (+9821) 88078388; Fax: (+9821) 88081919
E-mail: shojaee7@gmail.com





    References:
  1. Campos R, Soley NA, Campos BV. Patient safety: changes in hemoglobin and serum iron after liposuction and/or abdominoplasty. Revista brasileira de cirurgia 2018; 33: 511-7.
  2. Wu S, Coombs DM, Gurunian R. Liposuction: Concepts, safety, and techniques in body-contouring surgery. Cleveland Clinic Journal of Medicine 2020; 87(6): 367-75.
  3.   Mortada H, Alshenaifi S, Samawi H, Marzoug M, Alhumsi T, Alaithan B. The Safety of Large-Amount Liposuction: A Retrospective Analysis of 28 Cases. J Cutan Aesthet Surg 2023; 16(3): 227-231.
  4. Masoomi H, Rimler J, Wirth G, Lee C, Paydar K, Evans G. Frequency and Risk Factors of Blood Transfusion in Abdominoplasty in Post–Bariatric Surgery Patients. Plast Reconstr Surg 2015; 135: 861e-8e.
  5. Bayter-Marín JE, Hoyos A, Cárdenas-Camarena L, Peña-Pinzón W, Bayter-Torres AF, Díaz-Díaz CA, et al. Effectiveness of Tranexamic Acid in the Postoperative Period in Body Contour Surgery: Randomized Clinical Trial. Plast Reconstr Surg Glob Open 2023; 11(11): e5403.
  6. Floros C, Davis P. Complications and long-term results following abdominoplasty: a retrospective study. Br J Plast Surg 1991; 44(3): 190-4.
  7. Ahern RW. The history of liposuction. Semin Cutan Med Surg 2009; 28(4): 208-11. 
  8. Chia CT, Neinstein RM, Theodorou SJ. Evidence-based medicine: liposuction. Plast Reconstr Surg 2017; 139(1): 267e-74e.
  9. Swanson E. Prospective study of lidocaine, bupivacaine, and epinephrine levels and blood loss in patients undergoing liposuction and abdominoplasty. Plast Reconstr Surg 2012; 130(3): 702-22.
  10. Marik PE, Corwin HL. Efficacy of red blood cell transfusion in the critically ill: a systematic review of the literature. Crit Care Med 2008; 36(9): 2667-74.
  11. Matarasso A, Swift RW, Rankin M. Abdominoplasty and  abdominal   contour   surgery:  a   national   plastic surgery survey. Plast Reconstr Surg 2006; 117(6): 1797-808.
  12. Rohrich RJ, Leedy JE, Swamy R, Brown SA, Coleman J. Fluid resuscitation in liposuction: a retrospective review of 89 consecutive patients. Plast Reconstr Surg 2006; 117(2): 431-5.
  13. JA K. The tumescent technique for liposuction surgery. Am J Cosmet Surg 1987; 4: 263-7.
  14. Iverson R, Lynch D. American Society of Plastic Surgeons Committee on Patient Safety. Practice advisory on liposuction. Plast Reconstr Surg 2004; 113(5): 1478-90.
  15. Samdal F, Amland PF, Bugge JF. Blood loss during liposuction using the tumescent technique. Aesthetic Plast Surg 1994; 18: 157-60.
  16. Haeck PC, Swanson JA, Iverson RE, Schechter LS, Singer R, Basu CB, et al. Evidence-based patient safety advisory: patient selection and procedures in ambulatory surgery. Plast Reconstr Surg 2009; 124(4S): 6S-27S.
  17. Cárdenas-Camarena L, Gerardo L-PA, Durán H, Bayter-Marin JE. Strategies for reducing fatal complications in liposuction. Plast Reconstr Surg Glob Open 2017; 5(10): e1539.
  18. Hunstad JP, Godek CP, Van Natta BW, Kortesis BG, Bharti G, Crantford JC, et al. A multicenter, prospective, randomized, contralateral study of tissue liquefaction liposuction vs suction-assisted liposuction. Aesthet Surg J 2018; 38(9): 980-9.
  19. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol 1990; 16(3): 248-63.
  20. Di Giuseppe A, Shiffman MA. Liposuction--Principles and Practice. Philadelphia: Springer; 2016. p: 87-94.
  21. Rohrich RJ, Mendez BM, Afrooz PN. An update on the safety and efficacy of outpatient plastic surgery: a review of 26,032 consecutive cases. Plast Reconstr Surg 2018; 141(4): 902-8.
  22. Neaman KC, Hansen JE. Analysis of complications from abdominoplasty: a review of 206 cases at a university   hospital.   Ann Plast Surg 2007; 58(3): 292-8.
  23. Kaoutzanis C, Gupta V, Winocour J, Shack B, Grotting JC, Higdon K. Incidence and risk factors for major surgical site infections in aesthetic surgery: Analysis of 129,007 Patients. Aesthet Surg J 2017; 37(1): 89-99.
  24. Stephan PJ, Kenkel JM. Updates and advances in liposuction. Aesthet Surg J 2010; 30(1): 83-97.
  25. Chow I, Alghoul MS, Khavanin N, Hanwright PJ, Mayer KE, Hume KM, et al. Is there a safe lipoaspirate volume? A risk assessment model of liposuction volume as a function of body mass index. Plast Reconstr Surg 2015; 136(3): 474-83.
  26. Coon D, Joseph Michaels V, Gusenoff JA, Purnell C, Friedman T, Rubin JP. Multiple procedures and staging in the massive weight loss population. Plast Reconstr Surg 2010; 125(2): 691-8.
Type of Study: Research | Subject: Blood Transfusion
Published: 2025/03/17
References
1. Campos R, Soley NA, Campos BV. Patient safety: changes in hemoglobin and serum iron after liposuction and/or abdominoplasty. Revista brasileira de cirurgia 2018; 33: 511-7. [DOI:10.5935/2177-1235.2018RBCP0172]
2. Wu S, Coombs DM, Gurunian R. Liposuction: Concepts, safety, and techniques in body-contouring surgery. Cleveland Clinic Journal of Medicine 2020; 87(6): 367-75. [DOI:10.3949/ccjm.87a.19097] [PMID]
3. Mortada H, Alshenaifi S, Samawi H, Marzoug M, Alhumsi T, Alaithan B. The Safety of Large-Amount Liposuction: A Retrospective Analysis of 28 Cases. J Cutan Aesthet Surg 2023; 16(3): 227-231. [DOI:10.4103/JCAS.JCAS_59_22] [PMID] []
4. Masoomi H, Rimler J, Wirth G, Lee C, Paydar K, Evans G. Frequency and Risk Factors of Blood Transfusion in Abdominoplasty in Post-Bariatric Surgery Patients. Plast Reconstr Surg 2015; 135: 861e-8e. [DOI:10.1097/PRS.0000000000001161] [PMID]
5. Bayter-Marín JE, Hoyos A, Cárdenas-Camarena L, Peña-Pinzón W, Bayter-Torres AF, Díaz-Díaz CA, et al. Effectiveness of Tranexamic Acid in the Postoperative Period in Body Contour Surgery: Randomized Clinical Trial. Plast Reconstr Surg Glob Open 2023; 11(11): e5403. [DOI:10.1097/GOX.0000000000005403] [PMID] []
6. Floros C, Davis P. Complications and long-term results following abdominoplasty: a retrospective study. Br J Plast Surg 1991; 44(3): 190-4. [DOI:10.1016/0007-1226(91)90125-4] [PMID]
7. Ahern RW. The history of liposuction. Semin Cutan Med Surg 2009; 28(4): 208-11. [DOI:10.1016/j.sder.2009.10.001] [PMID]
8. Chia CT, Neinstein RM, Theodorou SJ. Evidence-based medicine: liposuction. Plast Reconstr Surg 2017; 139(1): 267e-74e. [DOI:10.1097/PRS.0000000000002859] [PMID]
9. Swanson E. Prospective study of lidocaine, bupivacaine, and epinephrine levels and blood loss in patients undergoing liposuction and abdominoplasty. Plast Reconstr Surg 2012; 130(3): 702-22. [DOI:10.1097/PRS.0b013e31825dc408] [PMID]
10. Marik PE, Corwin HL. Efficacy of red blood cell transfusion in the critically ill: a systematic review of the literature. Crit Care Med 2008; 36(9): 2667-74. [DOI:10.1097/CCM.0b013e3181844677] [PMID]
11. Matarasso A, Swift RW, Rankin M. Abdominoplasty and abdominal contour surgery: a national plastic surgery survey. Plast Reconstr Surg 2006; 117(6): 1797-808. [DOI:10.1097/01.prs.0000209918.55752.f3] [PMID]
12. Rohrich RJ, Leedy JE, Swamy R, Brown SA, Coleman J. Fluid resuscitation in liposuction: a retrospective review of 89 consecutive patients. Plast Reconstr Surg 2006; 117(2): 431-5. [DOI:10.1097/01.prs.0000201477.30002.ce] [PMID]
13. JA K. The tumescent technique for liposuction surgery. Am J Cosmet Surg 1987; 4: 263-7. [DOI:10.1177/074880688700400403]
14. Iverson R, Lynch D. American Society of Plastic Surgeons Committee on Patient Safety. Practice advisory on liposuction. Plast Reconstr Surg 2004; 113(5): 1478-90. [DOI:10.1097/01.PRS.0000111591.62685.F8] [PMID]
15. Samdal F, Amland PF, Bugge JF. Blood loss during liposuction using the tumescent technique. Aesthetic Plast Surg 1994; 18: 157-60. [DOI:10.1007/BF00454476] [PMID]
16. Haeck PC, Swanson JA, Iverson RE, Schechter LS, Singer R, Basu CB, et al. Evidence-based patient safety advisory: patient selection and procedures in ambulatory surgery. Plast Reconstr Surg 2009; 124(4S): 6S-27S. [DOI:10.1097/PRS.0b013e3181b8e880] [PMID]
17. Cárdenas-Camarena L, Gerardo L-PA, Durán H, Bayter-Marin JE. Strategies for reducing fatal complications in liposuction. Plast Reconstr Surg Glob Open 2017; 5(10): e1539. [DOI:10.1097/GOX.0000000000001539] [PMID] []
18. Hunstad JP, Godek CP, Van Natta BW, Kortesis BG, Bharti G, Crantford JC, et al. A multicenter, prospective, randomized, contralateral study of tissue liquefaction liposuction vs suction-assisted liposuction. Aesthet Surg J 2018; 38(9): 980-9. [DOI:10.1093/asj/sjy001] [PMID] []
19. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol 1990; 16(3): 248-63. [DOI:10.1111/j.1524-4725.1990.tb03961.x] [PMID]
20. Di Giuseppe A, Shiffman MA. Liposuction--Principles and Practice. Philadelphia: Springer; 2016. p: 87-94.
21. Rohrich RJ, Mendez BM, Afrooz PN. An update on the safety and efficacy of outpatient plastic surgery: a review of 26,032 consecutive cases. Plast Reconstr Surg 2018; 141(4): 902-8. [DOI:10.1097/PRS.0000000000004213] [PMID]
22. Neaman KC, Hansen JE. Analysis of complications from abdominoplasty: a review of 206 cases at a university hospital. Ann Plast Surg 2007; 58(3): 292-8. [DOI:10.1097/01.sap.0000239806.43438.54] [PMID]
23. Kaoutzanis C, Gupta V, Winocour J, Shack B, Grotting JC, Higdon K. Incidence and risk factors for major surgical site infections in aesthetic surgery: Analysis of 129,007 Patients. Aesthet Surg J 2017; 37(1): 89-99. [DOI:10.1093/asj/sjw100] [PMID]
24. Stephan PJ, Kenkel JM. Updates and advances in liposuction. Aesthet Surg J 2010; 30(1): 83-97. [DOI:10.1177/1090820X10362728] [PMID]
25. Chow I, Alghoul MS, Khavanin N, Hanwright PJ, Mayer KE, Hume KM, et al. Is there a safe lipoaspirate volume? A risk assessment model of liposuction volume as a function of body mass index. Plast Reconstr Surg 2015; 136(3): 474-83. [DOI:10.1097/PRS.0000000000001498] [PMID]
26. Coon D, Joseph Michaels V, Gusenoff JA, Purnell C, Friedman T, Rubin JP. Multiple procedures and staging in the massive weight loss population. Plast Reconstr Surg 2010; 125(2): 691-8. [DOI:10.1097/PRS.0b013e3181c87b3c] [PMID]
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