Suction-Assisted Liposuction With a Y-Connector
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LETTER TO THE EDITOR
Suction-Assisted Liposuction With a Y-Connector Cagri A. Uysal • Erhan Coskun • Burak Ozkan Harun Cologlu • Huseyin Borman
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Received: 26 June 2012 / Accepted: 9 July 2012 / Published online: 31 August 2012 Ó Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2012
Abstract Liposuction appears to be one of the simplest aesthetic techniques to date, and its popularity has spread worldwide. The authors have been using a Y-connector that enables two plastic surgeons to work at the same with the same suction-assisted liposuction (SAL) machine. For 12 patients whose liposuction procedures were performed using one-cannula SAL, the mean surgical time was 114 ± 10.8 min, whereas for 11 patients whose liposuction procedures were performed with Y-connector SAL, the mean surgical time was 62 ± 7.8 min. This difference between the two groups is statistically significant (p \ 0.05). The authors believe the Y-connector may be a less tiring alternative for plastic surgeons who still think SAL is the gold standard for liposuction. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Cannula Double Liposuction Suction-assisted liposuction Y-connector
Liposuction appears to be one of the simplest aesthetic techniques to date, and its popularity has spread worldwide. Berry and Davies [1] reviewed liposuction history and emphasized that modern liposuction can be traced back
C. A. Uysal (&) E. Coskun B. Ozkan H. Cologlu H. Borman Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Baskent University, 5 Sokak No: 48, 06490 Bahcelievler, Ankara, Turkey e-mail: [email protected]; [email protected]
to lipexeresis, a combination of subcutaneous scissors dissection with curettage and suction of fat [2]. Liposuction is most closely associated with Illouz [3], who introduced two important innovations: the blunt-tipped cannula and the use of subcutaneous infiltration to facilitate adipose breakdown and aspiration. We have been performing liposuction in different cases and still think classical suction-assisted liposuction (SAL) is the gold standard [1]. Currently, the source of suction usually is that of the wall variety (pressure, 300– 600 mmHg), somewhat lower than Illouz’s recommended 700–800 mmHg. Recently, we have been using a Y-connector that enables two plastic surgeons to work at the same with the same SAL machine (Byron PT-220, Mentor, Berkshire, UK). The pressure indicated by the gauge of the machine with one cannula is 24 inchHg (610 mmHg), and with the Y connector, it is 20 inchHg (508 mmHg). As is well known, pressure is the force per unit area applied in a direction perpendicular to the surface of an object. In addition, Pascal’s law states that when pressure increases at any point in a confined fluid, an eq
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