Adverse Events of Soft Tissue Coagulation Using a Helium-Based Plasma Technology Alone and in Combination With Ultrasound-Assisted Liposuction

Abstract BackgroundProtein denaturation and collagen contraction occur when living tissue is heated to well-defined temperatures. The result is reduced volume and surface area of the heated tissue. ObjectivesTo evaluate the adverse events of proced...

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Main Authors: Paul G Ruff, Paul Vanek, Matthew Nykiel
Format: Article
Language:English
Published: Oxford University Press 2022-07-01
Series:Aesthetic Surgery Journal Open Forum
Online Access:https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac064
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author Paul G Ruff
Paul Vanek
Matthew Nykiel
author_facet Paul G Ruff
Paul Vanek
Matthew Nykiel
author_sort Paul G Ruff
collection DOAJ
description Abstract BackgroundProtein denaturation and collagen contraction occur when living tissue is heated to well-defined temperatures. The result is reduced volume and surface area of the heated tissue. ObjectivesTo evaluate the adverse events of procedures in which a helium-based plasma technology (HPT) was used with and without ultrasound-assisted liposuction for the coagulation of soft tissue. MethodsA multicenter retrospective chart review was performed in which patients (n = 192) were divided into 2 groups: one that received only soft tissue coagulation and the other that received both soft tissue coagulation and liposuction. Each of the 2 groups was subdivided into patients with and without adverse events, including seroma. Odds ratios for adverse events were calculated for both demographic and surgical subgroups. Seroma data were analyzed separately. ResultsNo serious adverse events were observed. Forty-six (24.0%) patients reported 51 total adverse events. Seroma was the most frequently occurring adverse event with 13 patients (6.8%) reporting 17 (33.3%) events in 12 body areas. In these cases, all areas were treated with both liposuction and soft tissue coagulation. Seroma was not observed in patients receiving soft tissue coagulation alone. Patients aged 61 to 76 years and males were more likely to experience seroma or other adverse event than younger patients or females, respectively. ConclusionsThe use of the HPT for soft tissue coagulation in combination with ultrasound for liposuction is associated with nonserious adverse events. The most frequently occurring adverse event, seroma, was not observed in patients treated with HPT alone. Level of Evidence: 3
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spelling doaj.art-d39cd4af8bf84a2bb7cfedca7ee17f652023-01-11T17:24:44ZengOxford University PressAesthetic Surgery Journal Open Forum2631-47972022-07-01410.1093/asjof/ojac064Adverse Events of Soft Tissue Coagulation Using a Helium-Based Plasma Technology Alone and in Combination With Ultrasound-Assisted LiposuctionPaul G RuffPaul VanekMatthew Nykiel Abstract BackgroundProtein denaturation and collagen contraction occur when living tissue is heated to well-defined temperatures. The result is reduced volume and surface area of the heated tissue. ObjectivesTo evaluate the adverse events of procedures in which a helium-based plasma technology (HPT) was used with and without ultrasound-assisted liposuction for the coagulation of soft tissue. MethodsA multicenter retrospective chart review was performed in which patients (n = 192) were divided into 2 groups: one that received only soft tissue coagulation and the other that received both soft tissue coagulation and liposuction. Each of the 2 groups was subdivided into patients with and without adverse events, including seroma. Odds ratios for adverse events were calculated for both demographic and surgical subgroups. Seroma data were analyzed separately. ResultsNo serious adverse events were observed. Forty-six (24.0%) patients reported 51 total adverse events. Seroma was the most frequently occurring adverse event with 13 patients (6.8%) reporting 17 (33.3%) events in 12 body areas. In these cases, all areas were treated with both liposuction and soft tissue coagulation. Seroma was not observed in patients receiving soft tissue coagulation alone. Patients aged 61 to 76 years and males were more likely to experience seroma or other adverse event than younger patients or females, respectively. ConclusionsThe use of the HPT for soft tissue coagulation in combination with ultrasound for liposuction is associated with nonserious adverse events. The most frequently occurring adverse event, seroma, was not observed in patients treated with HPT alone. Level of Evidence: 3 https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac064
spellingShingle Paul G Ruff
Paul Vanek
Matthew Nykiel
Adverse Events of Soft Tissue Coagulation Using a Helium-Based Plasma Technology Alone and in Combination With Ultrasound-Assisted Liposuction
Aesthetic Surgery Journal Open Forum
title Adverse Events of Soft Tissue Coagulation Using a Helium-Based Plasma Technology Alone and in Combination With Ultrasound-Assisted Liposuction
title_full Adverse Events of Soft Tissue Coagulation Using a Helium-Based Plasma Technology Alone and in Combination With Ultrasound-Assisted Liposuction
title_fullStr Adverse Events of Soft Tissue Coagulation Using a Helium-Based Plasma Technology Alone and in Combination With Ultrasound-Assisted Liposuction
title_full_unstemmed Adverse Events of Soft Tissue Coagulation Using a Helium-Based Plasma Technology Alone and in Combination With Ultrasound-Assisted Liposuction
title_short Adverse Events of Soft Tissue Coagulation Using a Helium-Based Plasma Technology Alone and in Combination With Ultrasound-Assisted Liposuction
title_sort adverse events of soft tissue coagulation using a helium based plasma technology alone and in combination with ultrasound assisted liposuction
url https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac064
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AT paulvanek adverseeventsofsofttissuecoagulationusingaheliumbasedplasmatechnologyaloneandincombinationwithultrasoundassistedliposuction
AT matthewnykiel adverseeventsofsofttissuecoagulationusingaheliumbasedplasmatechnologyaloneandincombinationwithultrasoundassistedliposuction