完善吸脂手术的安全性和有效性:基于氦等离子整合的外科医生学习曲线分析

Aesthetic surgery journal. Open forum Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.1093/asjof/ojae063
Paul G Ruff, Allison Martinez, Nicholas Burpee
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引用次数: 0

摘要

背景:医学进步的引入需要对临床实践和患者疗效进行持续的严格评估,以提高疗效和安全性。自从微创、基于能量的设备开发以来,这一过程一直贯穿于美容医学领域:收集使用或不使用氦基等离子设备的吸脂手术的回顾性程序和安全性数据,比较 3 组情况,并划定学习曲线:主要研究人员(PI)在单一地点对年龄≥18 岁的健康患者进行了回顾性病历审查。共有 50 名患者接受了超声波辅助吸脂术,50 名患者接受了使用氦基等离子设备的吸脂术,50 名主要研究者最近的患者接受了使用氦基等离子设备的吸脂术。所有患者均有至少 6 个月的术后随访记录:共有 150 名患者参与了这项研究。大多数患者都接受了多个部位的治疗,主要是臀部和腹部。治疗设置各不相同,疼痛与治疗组之间存在显著关系(P = .013)。没有严重或意外不良事件(AE)报告,所有不良事件在最后随访前均已解决:收集到的数据表明,PI 继续使用氦基等离子设备可改善患者的治疗效果和安全性。数据还支持氦基等离子设备在与吸脂手术结合使用时的安全性:
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Refining Liposuction Safety and Efficacy: Surgeon Learning-Curve Analysis With Helium-Based Plasma Integration.

Background: The introduction of medical advancements requires ongoing critical evaluation of clinical practice and patient outcomes to improve results and safety. Since the development of minimally invasive, energy-based devices, this process has been occurring throughout the field of aesthetic medicine.

Objectives: To collect retrospective procedure and safety data of liposuction procedures with or without adjunct utilization of a helium-based plasma device, compare 3 groups, and delineate the learning curve.

Methods: A retrospective chart review at a single site included healthy patients ≥18 years of age treated by the principal investigator (PI). A total of 50 patients had an ultrasonic-assisted liposuction procedure, 50 patients had a liposuction procedure with the utilization of the helium-based plasma device, and 50 of the PI's most recent patients had a liposuction procedure with the utilization of the helium-based plasma device. All patients had at least 6 months of documented postoperative follow-up care.

Results: Totally, 150 patients were enrolled in the study. Most patients had multiple body areas treated, primarily hips and abdomen. Treatment settings varied, with significant relationships found between pain and treatment groups (P = .013). No serious or unexpected adverse events (AEs) were reported, and all AE resolved before the final follow-up.

Conclusions: The data collected support that patient outcomes and safety improve with continued use of the helium-based plasma device by the PI. The data also support the use of a helium-based plasma device as safe when used in combination with liposuction procedures.

Level of evidence 4 therapeutic:

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