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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 1999 August;158(4):105-9

language: Italian

New trend in the treatment of obese patients with megaliposculpture

Argenzio V. 1, Iorio G. 1, Passariello N. 2, Ziccardi P. 1

1 II Università di Napoli, Dipartimento di Chirurgia Generale e del Supporto Nutrizionale, Ambulatorio di Chirurgia Plastica;
2 II Università di Napoli, Dipartimento di Medicina Generale


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Objective. After an examination of the clinical results obtained by current medical dietary and psychological treatment of obesity, liposuction is recommended as a valuable adjunct to such treatment. The technique is designed to offer a valid alternative to techniques derived from general surgery which offers valuable support to obese patients. The study described here showed the positive effect of this surgical technique on metabolic balance; (blood sugar, blood insulin and blood triglycerides).
Methods. Patients’ insulin, glucagon and lipoprotein lipase levels were assayed before and after liposuction. The treatment protocol identified the level of obesity from slight to pathological and assigned each patient to the appropriate treatment on that basis. The 28 patients treated were selected on the basis of: the site of localised fat deposits for targeted reduction; the increase in blood insulin resistance; any inherited diabetes or dyslipidaemia.
Results. The results obtained were satisfactory in both metabolic and cosmetic terms and the treatment significantly improved the effectiveness of postoperative dietological treatment. There were no major complications, except that a few of the more overweight patients with adipose deposits on the lower extremities suffered transitory oedema on those extremities.
Conclusions. In view of the metabolic and cosmetic advantages demonstrated, it is felt that liposuction represents a valid alternative or preferably adjunct to standard treatment of obesity.

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