Browsing by Author "GUILLERMO ANDRES MONTES LOAIZA M.D."

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    Causas de muerte asociadas a procedimientos lipoplásticos: descripción de casos valorados en el Instituto Nacional de Medicina Legal y Ciencias Forenses Regional Bogotá entre 1995-2008
    (UNIVERSIDAD NACIONAL DE COLOMBIA, 2009) GUILLERMO ANDRES MONTES LOAIZA M.D.; Montes Loaiza, Guillermo Andrés; Aguirre Serrano, Herley; Morales Martínez, Pedro Emilio
    Descriptive case-series study of deaths associated with lipoplastic procedures (mainly liposuction, lipectomy and fat grafting) examined at the Bogotá Regional office of the National Institute of Legal Medicine and Forensic Sciences between 1995 and 2008. A systematic review of case files and autopsy reports was carried out in order to collect demographic and anthropometric data, together with information on surgical and anesthetic techniques, institutional characteristics, autopsy procedures, complementary tests and certified causes of death. The thesis describes the frequency and combinations of aesthetic procedures, infiltrated and aspirated volumes, types of infiltration and anesthesia, as well as the main pathological findings and the quality of forensic documentation. The results show that most deaths occurred in adult women operated on in accredited institutions and identify fat embolism and massive pulmonary thromboembolism as the leading causes of death. The author discusses the clinical and forensic implications of these findings and proposes recommendations for surgical practice and for the standardization of autopsy protocols in deaths related to lipoplastic procedures.