Outcome of Liposuction for Limb Lymphedema in Men Compared with Women
Objectives: Liposuction effectively reduces limb volume in cases of advanced fat-dominant lymphedema. This study compares surgical outcomes between men and women using Brorson's liposuction for lymphedema protocol. Methods: A total of 11 men and 11 women with unilateral limb lymphedema who unde...
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Japan Society of Plastic and Reconstructive Surgery
2025-01-01
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| Series: | Journal of Plastic and Reconstructive Surgery |
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| Online Access: | https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0032/_pdf/-char/en |
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| author | Helen Mackie Belinda M. Thompson Robyn Ricketts Kim Toyer Asha Heydon-White Louise A. Koelmeyer Thomas C. Lam |
| author_facet | Helen Mackie Belinda M. Thompson Robyn Ricketts Kim Toyer Asha Heydon-White Louise A. Koelmeyer Thomas C. Lam |
| author_sort | Helen Mackie |
| collection | DOAJ |
| description | Objectives: Liposuction effectively reduces limb volume in cases of advanced fat-dominant lymphedema. This study compares surgical outcomes between men and women using Brorson's liposuction for lymphedema protocol.
Methods: A total of 11 men and 11 women with unilateral limb lymphedema who underwent liposuction were matched based on preoperative volume difference (Vol Diff) and percentage volume difference (%Vol Diff) between the affected and unaffected limbs. Individuals were secondarily matched for age, body mass index, and lymphedema duration. The volume of fat aspirated was compared to preoperative Vol Diff to calculate a percentage (%) aspirate volume. The preoperative %Vol Diff and postoperative %Vol Diff at two-time intervals over 12 months were recorded. Differences between the groups were assessed for significance.
Results: Preoperative male group mean %Vol Diff of 35.1% matched the female group mean %Vol Diff of 34.8% (p = 0.928). The surgical male mean %aspiration volume of 80.4% was significantly less than the female group of 119% (p = 0.004). The reduction in male mean %Vol Diff was significantly less at the two postoperative time intervals. At 3-6 months, the mean %Vol Diff for men was 20.7% and 3.8% for women (p = 0.009). At the 9-12 months, the mean %Vol Diff was 13.2% for men and 4.2% for women (p = 0.006).
Conclusions: The male group matched for preoperative volume with a female group had a lower %aspiration volume and higher postoperative %Vol Diff which was most likely due to sex-based fat differences. |
| format | Article |
| id | doaj-art-b0c807600a604e7d9ca4a852cbadebeb |
| institution | Kabale University |
| issn | 2436-259X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Japan Society of Plastic and Reconstructive Surgery |
| record_format | Article |
| series | Journal of Plastic and Reconstructive Surgery |
| spelling | doaj-art-b0c807600a604e7d9ca4a852cbadebeb2025-02-03T00:52:47ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2025-01-0141162023-0032Outcome of Liposuction for Limb Lymphedema in Men Compared with WomenHelen Mackie0Belinda M. Thompson1Robyn Ricketts2Kim Toyer3Asha Heydon-White4Louise A. Koelmeyer5Thomas C. Lam6Australian Lymphoedema Education, Research and Treatment (ALERT) Program, Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityAustralian Lymphoedema Education, Research and Treatment (ALERT) Program, Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityAustralian Lymphoedema Education, Research and Treatment (ALERT) Program, Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityAustralian Lymphoedema Education, Research and Treatment (ALERT) Program, Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityAustralian Lymphoedema Education, Research and Treatment (ALERT) Program, Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityAustralian Lymphoedema Education, Research and Treatment (ALERT) Program, Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityAustralian Lymphoedema Education, Research and Treatment (ALERT) Program, Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityObjectives: Liposuction effectively reduces limb volume in cases of advanced fat-dominant lymphedema. This study compares surgical outcomes between men and women using Brorson's liposuction for lymphedema protocol. Methods: A total of 11 men and 11 women with unilateral limb lymphedema who underwent liposuction were matched based on preoperative volume difference (Vol Diff) and percentage volume difference (%Vol Diff) between the affected and unaffected limbs. Individuals were secondarily matched for age, body mass index, and lymphedema duration. The volume of fat aspirated was compared to preoperative Vol Diff to calculate a percentage (%) aspirate volume. The preoperative %Vol Diff and postoperative %Vol Diff at two-time intervals over 12 months were recorded. Differences between the groups were assessed for significance. Results: Preoperative male group mean %Vol Diff of 35.1% matched the female group mean %Vol Diff of 34.8% (p = 0.928). The surgical male mean %aspiration volume of 80.4% was significantly less than the female group of 119% (p = 0.004). The reduction in male mean %Vol Diff was significantly less at the two postoperative time intervals. At 3-6 months, the mean %Vol Diff for men was 20.7% and 3.8% for women (p = 0.009). At the 9-12 months, the mean %Vol Diff was 13.2% for men and 4.2% for women (p = 0.006). Conclusions: The male group matched for preoperative volume with a female group had a lower %aspiration volume and higher postoperative %Vol Diff which was most likely due to sex-based fat differences.https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0032/_pdf/-char/enliposuctionadvanced lymphoedemamendebulking |
| spellingShingle | Helen Mackie Belinda M. Thompson Robyn Ricketts Kim Toyer Asha Heydon-White Louise A. Koelmeyer Thomas C. Lam Outcome of Liposuction for Limb Lymphedema in Men Compared with Women Journal of Plastic and Reconstructive Surgery liposuction advanced lymphoedema men debulking |
| title | Outcome of Liposuction for Limb Lymphedema in Men Compared with Women |
| title_full | Outcome of Liposuction for Limb Lymphedema in Men Compared with Women |
| title_fullStr | Outcome of Liposuction for Limb Lymphedema in Men Compared with Women |
| title_full_unstemmed | Outcome of Liposuction for Limb Lymphedema in Men Compared with Women |
| title_short | Outcome of Liposuction for Limb Lymphedema in Men Compared with Women |
| title_sort | outcome of liposuction for limb lymphedema in men compared with women |
| topic | liposuction advanced lymphoedema men debulking |
| url | https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0032/_pdf/-char/en |
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