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논문 기본 정보

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학술저널
저자정보
Wang Seok Lee (Department of Plastic and Reconstructive Surgery Soonchunhyang Seoul Hospital) Si-Hyun Park (Department of Plastic and Reconstructive Surgery Soonchunhyang Seoul Hospital) Sang-Gue Kang (Department of Plastic and Reconstructive Surgery Soonchunhyang University Seoul Hospital Seoul) Min Sung Tak (Department of Plastic and Reconstructive Surgery Soonchunhyang University Hospital) chul han kim (Department of Plastic and Reconstructive Surgery Soonchunhyang University Hospital) 이상원 (Two-M Plastic Surgery Clinic Seoul Korea)
저널정보
대한미용성형외과학회 Archives of Aesthetic Plastic Surgery Archives of Aesthetic Plastic Surgery Vol.25 No.3
발행연도
2019.1
수록면
108 - 114 (7page)

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Background Because many cosmetic surgery clinics are not adequately equipped to handle emergent conditions, patients often come to a university hospital when problems occur during or after cosmetic surgery. However, few in-depth studies have been conducted of this issue. Therefore, we investigated emergency department visits due to complications associated with cosmetic surgery. Methods A retrospective chart review was conducted of 38 patients who visited the emergency department of the authors’ institution due to complications associated with cosmetic surgery from July 2014 to June 2017. Results There were more women than men (30 women vs. 8 men). Their mean age was 32.4 years (range, 19–57 years). Upon presentation to the emergency department, patients’ vital signs and mental status were usually normal (27 normal vs. 11 abnormal). The types of surgery included blepharoplasty, rhinoplasty, malar/orthognathic surgery, mammaplasty, liposuction, fat grafting, and filler and botulinum toxin injections. Most patients required hospitalization (26 admitted vs. 12 discharged). Eight of the hospitalized patients required intensive care unit care, of whom two died and three experienced brain death or had permanent neurologic sequelae. Conclusions The complications were usually minor problems, despite the need for hospitalization, but some complications were life-threatening. We recommend close monitoring and maintaining an adequate injection capacity for intravenous sedative anesthesia. When any symptom or sign of a complication occurs, it is best to transfer the patient to a university hospital as soon as possible. Taking a careful medical history is always needed, even for minor procedures.
#Anesthesia / Cardiomyopathies / Epinephrine / Plastic surgery

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참고문헌 (31)

참고문헌 신청
Iverson RE / 2002 / ASPS Task Force on Patient Safety in Office-Based Surgery Facilities. Patient safety in office-based surgery facilities: I. procedures in the office-based surgery setting / Plast Reconstr Surg 110:1337~1342 google schola Horton JB / 2008 / MOC-PS(SM) CME article: patient safety in the office-based setting / Plast Reconstr Surg 122(3 Suppl):1~21 google schola Parina R / 2015 / Quality and safety outcomes of ambulatory plastic surgery facilities in California / Plast Reconstr Surg 135:791~797 google schola Mofid MM / 2017 / Report on mortality from gluteal fat grafting : recommendations from the ASERF Task Force / Aesthet Surg J 37:796~806 google schola Clagett GP / 1988 / Prevention of venous thromboembolism in general surgical patients. Results of meta-analysis / Ann Surg 208:227~240 google schola

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