Chinanews client, Beijing, July 18 (Peng Ningling) Recently, a liposuction operation took the life of a 33-year-old young man, and once again pushed the safety of medical aesthetics to the forefront.
Who is driving the so-called facial anxiety?
Behind the geometric multiplication of medical and aesthetic disputes, when will the chaos in the industry cease?
Announcement of Hangzhou Municipal Health Commission on the preliminary investigation of medical accidents in Huayan Medical Cosmetology Hospital
Another tragedy: 33-year-old Hangzhou woman died of liposuction infection
Because of an online post posted by a friend of "Xiao Ran", "Internet celebrity Xiao Ran died of liposuction infection" appeared on the Internet hot search, which caused a lot of discussion.
According to the report of the Hangzhou Municipal Health Commission on the 15th, on May 2, Dai went to Huayan Medical Aesthetic Hospital for liposuction and other medical aesthetic operations. After the operation, he developed septic shock and was treated by Greentown Hospital and Zhejiang Second Hospital. , And finally died on July 13.
According to the report, the Hangzhou Medical Association organized experts to assess that this was a medical accident. Huayan Medical Aesthetic Hospital had faults such as lack of knowledge before the operation, improper operation during the operation, and delay in postoperative observation and treatment, and there was a causal relationship with the death of the patient. Take full responsibility and compensation has been made.
At the same time, the Xihu District Health Bureau issued warnings and fines to the hospitals involved, and ordered them to suspend business for rectification, and the responsible medical staff will be further dealt with.
In recent years, with the improvement of people's image pursuit, the medical beauty industry has developed rapidly.
According to the company's data, there are currently 9,400 "medical beauty hospitals" in my country.
2020 is the peak period for registrations, with an increase of 2,324; in the first half of this year, 2,360 were added, a year-on-year increase of 177.2%.
A search for "medical cosmetology" on the Chinese Judgment Documents Online revealed nearly 18,000 documents.
Since 2014, related disputes have increased significantly.
While pursuing beauty, risks may also accompany it.
The keyword "medical beauty" was searched on the Judgment Documents website. Since 2005, there have been nearly 18,000 documents, of which nearly 1,300 were compensation for personal injury.
In terms of growth, the number of dispute documents reached 507 in 2014, and there has been a large increase since then, reaching more than 5,800 by 2020.
Regarding liposuction, the first case on the judging document online appeared in 2005.
In addition, according to reports, in March 2003, 27-year-old white-collar Yao Yun in Harbin underwent liposuction in a hospital and died 18 hours later.
Some media also claimed that this was the first lawsuit in China that resulted in death due to liposuction surgery.
Since then, there have been more than 480 disputes about liposuction on the Internet of Judgment Documents, which is increasing year by year.
In March of this year, a 34-year-old woman in Hainan wanted to suck out the fat from her thighs and fill it on her face. Unfortunately, she fell on the operating table.
Also in March, in a case reported by the Health Bureau of Jianggan District, Hangzhou City, a woman underwent a "lumbar abdomen ring suction + gold micro-sculpture" operation in a medical institution, under general anesthesia, and lost consciousness and stopped breathing 1.5 hours after the operation.
In March of this year, a woman in Hangzhou stopped breathing after liposuction at a medical beauty institution, and the victim was taken to the hospital.
Photo courtesy of Run Run Run Run
"Miss the best treatment time"
After the "net celebrity Xiaoran" accident occurred, some infection doctors believed that this should be caused by bacteremia caused by the contamination of medical equipment, etc. After the occurrence of bacteremia, patients often have multiple organ metastatic infections, and Symptoms are more acute and should be treated for infectious bacteria immediately.
Xie Fang, deputy chief physician of the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences, told Chinanews.com that, in general, the incidence of infections caused by liposuction alone is relatively low.
In addition to liposuction, the Hangzhou operation also performed autologous fat to fill the breast.
Experts analyze that the autologous fat sucked from the body generally needs to be separated and purified in vitro before it can be used for filling.
In the process of autologous fat in vitro processing, the requirements for the sterile environment of the operating room are very high, and the requirements for the aseptic operation principle of all medical workers involved in the operation are also very high.
Any problem in any link may cause risks.
On the 16th, Tang Liang, a medical cosmetologist at Hangzhou First People’s Hospital affiliated to Zhejiang University School of Medicine, posted on Weibo that in a special investigation by the Hangzhou Municipal Health Commission on this incident on July 14, “necrotizing muscles” was mentioned. Meningitis".
Prior to this, the popular science on "necrotizing fasciitis" was also on the hot search.
Dr. Zeng, who is certified as a general surgeon at Beijing Chaoyang Hospital of Capital Medical University on Weibo, said: Necrotizing fasciitis is a very dangerous disease. Deep soft tissue infections involve muscle fascia and can spread quickly along the fascia. The principle is early detection, early surgery, and early antibiotic treatment.
According to previous media reports, after the operation on the evening of May 2 to 5 am on May 4, Xiao Ran kept shouting pain, accompanied by symptoms such as shortness of breath and heart palpitations, but these symptoms did not arouse the attention of the medical staff, but gave Xiao Ran an oral , Anal plug analgesics, during which Xiao Ran was in pain to shock.
It was Xiao Ran who called 120 for an ambulance and was sent to Hangzhou Greentown Cardiovascular Hospital.
Later, the ICU doctor called and said that Xiao Ran had missed the best time for treatment because he was not taken to the hospital in time.
Data map: The queuing display screen of the outpatient department of the medical beauty department of a public hospital in Hangzhou.
Photo by Wang Ying
"If you are in a large public hospital, because the ICU is usually next to the operating room, it will deal with the problem in a relatively timely manner, and there may be different results."
In an interview with Chinanews.com, Tang Liang said that in reality, when private institutions do deal with accidents, in addition to distance, institutions will weigh whether consumers have reached the severity of sending them to the ICU and whether they will affect the institution.
"If you encounter a doctor with a lack of knowledge and make an error in the assessment, it will cause irreversible results."
Tang Liang believes that liposuction is not an operation with a very high complication rate or a very high mortality rate. It is relatively safe to perform reasonable operations within a reasonable range.
In reality, some doctors think that the patient is still awake, and there may be a fluke.
In addition, it also depends on the regulations of the hospital involved. Sometimes doctors cannot "one person has the final say."
In addition to necrotizing fasciitis, doctors also said that fat embolism is also one of the most serious complications of liposuction.
"When fat is destroyed in the process of absorption, enters the blood, and then embolizes other parts of the body, such as pulmonary embolism, with blood flow, it will lead to death." Tang Liang said that this is a small probability event, but once it occurs, it is difficult. reverse.
Liposuction ads on the medical beauty app.
Fat, the more you suck, the better?
When it comes to liposuction, people always seem to be directly equivalent to losing weight.
Some medical beauty institutions posted photos of slender girls in front of them as publicity. Many medical beauty apps also displayed "comic legs" and "whole body thin" in the cover promotion, which seemed to imply that people can achieve the goal after a liposuction operation. Dream figure.
"Liposuction is not equal to weight loss, but partial shaping." Jiefang introduced to Chinanews.com that the general negative pressure liposuction uses negative pressure to suck fat out of the body.
"The fat density is very low, even if you suck a few thousand milliliters, you can only lose a small amount of weight. But after liposuction, the partial body shape can really make people look slim."
Chinanews.com consulted on liposuction in many medical and aesthetic institutions in Beijing. Some consultants said that consumers with a height of 160cm and a weight of 50kg can absorb 3000ml of thigh fat at one time, and there are also people with fatter body who absorb 6000ml or more at one time. .
According to the "Classified Management Catalog of Medical Aesthetic Projects" issued by the former General Office of the Ministry of Health in 2009, cosmetic surgery projects are divided into four levels according to the difficulty and complexity of the operation, as well as the possible medical accidents and risks.
Among them, liposuction volume less than 1000ml belongs to first-level surgery, liposuction volume between 1000ml and 2000ml belongs to second-level surgery, and liposuction volume between 2000ml and 5000ml belongs to third-level surgery.
The three-level operation process is more complicated, technically difficult and risky.
"Theoretically, one-time liposuction should not exceed 5000ml." Jiefang said that sucking too much fat may cause acid-base balance and electrolyte disturbance, hypothermia, and hemoglobin reduction. Therefore, liposuction must be combined with itself Circumstances, follow the principle of appropriate amount.
However, Tang Liang mentioned that the highest standard of 5000ml is a guiding standard, not an absolute standard.
Everyone's physical condition is different, and it is not absolutely unsafe for people who are too obese to exceed 5000ml.
Tang Liang also said that in reality, many doctors will advertise their maximum liposuction capacity, and customers will also fall into the "quantity measurement" thinking.
In the consultations he received, more than 50% of the consultants would ask to absorb fat, and few people simply asked for bodybuilding lines or shaping good-looking muscle contours.
When informed of the scientific liposuction amount, some rational customers will listen to the advice, but some people turn and leave, choosing a doctor who can accept their own liposuction amount.
"The most important thing about liposuction is not how much is absorbed, but'how much is left'." Tang Liang said, "How much thickness of sebum can be left to ensure that the skin is not necrotic? This is the most critical factor to avoid complications."
In Tang Liang's view, proper shaping is not wrong, but the "extreme requirements" may challenge the limits of medical treatment and lead to irreversible consequences.
And this requirement may be caused by social deformity aesthetics, and it is also in the opposite direction forcing institutions to compete wildly.
"Whoever can suck more, I will go to whom."
In March, the scene of a special rectification operation in Chengdu to crack down on "illegal medical beauty".
The picture shows the staff of Chengdu Health and Family Planning Supervision and Law Enforcement Detachment inspecting a beauty shop.
Photo by Wang Peng
Vague risk warning
It is worth mentioning that liposuction surgery has many contraindications.
However, in the interview, Chinanews found that some institutions would not actively inform related matters, and even downplay the corresponding risks.
For example, there are consumers who have anemia themselves, and the consultants did not take the initiative to ask beforehand, and only told the consumers after they learned that the operation can be performed after a little adjustment.
"Anemia is absolutely not for liposuction." Xiefang said that there will be a certain amount of bleeding during liposuction. Medically, there are indicators for the normal range of hemoglobin. If the normal range is not met, surgery must not be performed. .
Xie Fang said that in the preoperative conversation, patients should be asked about their physical abnormalities, and various preoperative examinations should be done at the same time.
For patients with chronic diseases such as cardiovascular disease, digestive and respiratory system; patients with chronic infectious diseases; women who need pregnancy in a short period of time or during pregnancy; women who are menstruating; and people with poor coagulation function ; People who have been taking hormones or anticoagulants for a long time and within the medication period should not undergo liposuction.
In addition, liposuction is not recommended for teenagers who are not yet mature.
In the process of liposuction, in addition to liposuction of upper arms and small parts of the face, large areas of liposuction such as waist and abdomen liposuction and thigh liposuction are generally performed under general anesthesia or local anesthesia plus sedation. Therefore, the preoperative examination should include preoperative blood A full set (blood routine + infection items + biochemistry + blood coagulation + immunity), chest X-ray CT, urine routine, electrocardiogram examination.
Data map: The doctor performs the operation.
Should we look anxious?
In addition to the operational level, after the accident, facial anxiety has also become a point of discussion for everyone.
Many netizens questioned: Why should we go to liposuction for being so beautiful and so thin?
Don't be anxious about your appearance anymore!
Is this appearance anxiety?
The "Fan Xiong" who is certified by Weibo as the new media operation director of Shanghai Fan Xiong Network Technology Co., Ltd. is a big V with 1.56 million fans.
In her Weibo, there are many submissions about cosmetic consultation and experience sharing every day: double eyelid cutting, liposuction, rhinoplasty...
Five years ago, "Fen Xiong" once stated on Weibo: It is my philosophy to pass on the direction of going to a regular hospital and guide natural aesthetic values.
After the accident, she told Chinanews.com that there is nothing wrong with choosing cosmetic surgery to become more beautiful. Medical treatment itself has a risk probability. What we should do is to guide everyone on how to choose institutions and doctors correctly. There is no need to use facial anxiety to create panic.
At the same time, "Fan Xiong" also mentioned concerns, "When all kinds of capital interventions and non-medical beauty fields' "experts" guide the market to form medical beauty fast-moving, along with the new model of celebrity medical beauty, Traffic performance is paramount, and the use of low-cost and inexperienced doctors to build and package them will also bury hidden dangers for the final problems. On the contrary, the traditional brand institutions that are really slowly accumulating reputation and strength, The doctor’s market share is being squeezed."
In the case of complaints received in the first half of 2021 released by the Zhejiang Provincial Consumer Protection Commission recently, according to statistics, medical beauty services are within the scope of consumer complaints.
The data shows that in the first half of 2021, the Zhejiang Provincial Consumer Protection Commission received a total of 363 complaints about beauty services. The complaints reflected problems including false propaganda by institutions, failure to achieve expected results, and induced loan beauty.
Previously, the Zhejiang Provincial Consumer Protection Committee found that the actual controller of the enterprise was the same person in many places in Zhejiang, and the company was frequently registered and deregistered.
At the same time, such companies use short video platforms, Tieba forums and other channels to post false advertisements, exaggerate beauty effects, share false personal experiences, and actually provide goods and services that are inconsistent with the content of publicity promises, seriously damaging consumer rights.
Professional doctors have repeatedly reminded that liposuction must choose a regular hospital and fully understand its indications and contraindications before doing it.
For doctors, it is not necessary to perform large-scale or large-scale liposuction in a single operation. Even if the patient needs it, the operation should be performed in stages or in multiple locations as appropriate.
"Like this incident, if it hadn't taken so many parts, even if there were focal necrosis or infection in some parts, it would not lead to such a serious result based on the modern medical level." Tang Liang said.
(Finish)