Evidence map›Paper›PMID 42377498›Full record

ArticleAesthetic plastic surgery2026

Are Routine Labs Necessary? Postoperative Electrolyte Trends in Lipedema Patients Undergoing Liposuction: Insights from a Single-Center Retrospective Cohort.

Christian Witulski, Tobias Niederegger, Lisa Scharff, Jule Brandt, Thomas Schaschinger, Yannick Diehm, Alen Palackic, Emre Gazyakan, Adriana C Panayi, Ulrich Kneser and 1 more

Abstract read
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In one paragraph

Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Christian WitulskiBG Klinik Ludwigshafen, Department of Hand, Plastic, and Reconstructive Surgery, Burn Center, Heidelberg University, Ludwig-Guttmann-Straße 13, Ludwigshafen am Rhein, 67071, Ludwigshafen, Germany.
Tobias NiedereggerMedical Faculty, University of Heidelberg, Heidelberg, Germany.
Lisa ScharffMedical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Jule BrandtMedical Faculty, University of Heidelberg, Heidelberg, Germany.
Thomas SchaschingerMedical Faculty, University of Heidelberg, Heidelberg, Germany.
Yannick DiehmBG Klinik Ludwigshafen, Department of Hand, Plastic, and Reconstructive Surgery, Burn Center, Heidelberg University, Ludwig-Guttmann-Straße 13, Ludwigshafen am Rhein, 67071, Ludwigshafen, Germany.
Alen PalackicBG Klinik Ludwigshafen, Department of Hand, Plastic, and Reconstructive Surgery, Burn Center, Heidelberg University, Ludwig-Guttmann-Straße 13, Ludwigshafen am Rhein, 67071, Ludwigshafen, Germany.
Emre GazyakanBG Klinik Ludwigshafen, Department of Hand, Plastic, and Reconstructive Surgery, Burn Center, Heidelberg University, Ludwig-Guttmann-Straße 13, Ludwigshafen am Rhein, 67071, Ludwigshafen, Germany.
Adriana C PanayiDepartment of Cranio-Maxillofacial and Oral Surgery, University Hospital Zurich, University of Zurich, Rämistrasse 100, 8091, Zurich, Switzerland.
Ulrich KneserBG Klinik Ludwigshafen, Department of Hand, Plastic, and Reconstructive Surgery, Burn Center, Heidelberg University, Ludwig-Guttmann-Straße 13, Ludwigshafen am Rhein, 67071, Ludwigshafen, Germany.
Gabriel HundeshagenBG Klinik Ludwigshafen, Department of Hand, Plastic, and Reconstructive Surgery, Burn Center, Heidelberg University, Ludwig-Guttmann-Straße 13, Ludwigshafen am Rhein, 67071, Ludwigshafen, Germany. gabriel.hundeshagen@bgu-ludwigshafen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiposuction is a standard treatment for advanced-stage lipedema, often involving large volumes of tumescent fluid infiltration and aspiration. These shifts raise concerns about postoperative electrolyte imbalances, though systematic data are limited.

methodsThis retrospective single-center study analyzed 116 women with stage 2 or 3 lipedema who underwent liposuction between 2019 and 2023. Pre- and postoperative (within 24 hours) laboratory values including hemoglobin, hematocrit, leukocytes, and electrolytes were compared using paired t-tests, and correlations with clinical variables were assessed.

resultsPostoperatively, lower hemoglobin (13.6 ± 0.9 to 11.8 ± 1.2 g/dL, p < .0001) and hematocrit (40.9 ± 2.5 to 35.1 ± 3.5%, p < .0001) levels were observed, alongside higher leukocyte counts (7.6 ± 3.1 to 13.1 ± 5.9 × 10

conclusionsPost-liposuction electrolyte and hematologic changes are mild and clinically insignificant, reflecting predictable hemodilution rather than metabolic disturbance. Routine postoperative testing appears unnecessary for most patients, supporting selective monitoring in those with abnormal baseline values, high aspirate volumes, or relevant comorbidities. LEVEL OF EVIDENCE III: 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 .

Indexed as

ElectrolytesLipectomyLipedemaPostoperative ComplicationsWater-Electrolyte ImbalanceAdultCohort StudiesFemaleHematocritHumansMiddle AgedRetrospective StudiesElectrolytesElectrolytesFluid shiftsHemodilutionLaboratory testingLiposuction; LipedemaPostoperative monitoring

Identifiers

PMID42377498

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.