Effect Of Too Much Television On 1-2 Year Olds Development How Therapeutic Ultrasounds Became Used to Remove Fat

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How Therapeutic Ultrasounds Became Used to Remove Fat

Because instant fat reduction has great appeal, liposuction has become the most common cosmetic procedure performed worldwide. According to the American Society of Plastic Surgeons (ASPS), the number of liposuction procedures performed increased by 386 percent from 1992 to 2000. More than 450,000 liposuction procedures were performed in 2005. Interestingly, 21% of these procedures were assisted by ultrasound. lipoplasty (UAL). The American public spends about 2 billion dollars for these operations. The basic technique involves inserting a narrow tube (cannula) under the skin through small incisions and manipulating the cannula to break up and suck out fat cells. The procedure injures other local tissue, causing temporary bruising, swelling and blood loss. The most commonly treated areas are the outer thighs and abdomen in women and the flanks or “love handles” in men.

Liposuction can also remove unwanted fat from hips, buttocks, knees, upper arms, chin, cheeks, neck and other areas. The concept behind liposuction seems almost too good to be true: However, it is not an easy solution. The American Society of Plastic Surgeons (ASPS) warns that liposuction is a serious surgical procedure that involves a potentially painful recovery and risks of rare but serious complications. A decision on whether liposuction, according to the American Mayo Clinic, must be considered very carefully. However, liposuction is a popular option. However, now there may be a new ultrasound method to remove fat from the body, which does not involve risk for the patient. This new method called UltraShape ® uses unique G-NIUS(TM) (Guided Non-Invasive Focused Ultrasound Selective) technology to effectively and safely break down fat cells. The use of external ultrasound means that the patient does not even have to undergo any invasive surgical procedure. The UltraShape procedure has the potential to redefine aesthetic medicine by developing a non-invasive means of fat removal.

Therapeutic ultrasound (as opposed to diagnostic and imaging modalities) has been used as a therapeutic tool in medicine for over fifty years. The first ultrasound machine (lithotripter) used to destroy kidney stones was produced by the German Aircraft manufacturer Dornier in Munich in 1980. It was the same year that the former Beatle, John Lennon, was shot dead outside his New York apartment. In 1984, the company launched the Dornier HM-3 (Human Model-3) and in that same year the FDA approved the use of ESWL (extracorporeal shock wave lithotripsy) in the United States for the treatment of kidney stones. Since that time, the HM-3 or the “Munich Stonebuster” as the press preferred to call it, has treated more than five million patients worldwide. By 1985, the technique was first applied successfully in a patient with gall bladder stones. It was the same year that the energetic Dubliner, Bob Geldof, had the idea of ​​organizing Live Aid for the starving people of Africa.

In the following years, many conditions suitable for the ESWL technique were investigated. But the story of using therapeutic ultrasound in medicine didn’t really start there. In fact it may have inadvertently started with another aircraft manufacturer because during World War II, British ophthalmologist Harold Ridley, noticed pieces of Plexiglas from the shattered canopies of Spitfire fighter planes did not cause any reaction when they became embedded in a pilot’s eyes. He used that theory to use the material to implant the world’s first intraocular lens, in St. Thomas Hospital in London on November 29, 1949. The next year he faced widespread criticism from his peers at a conference in the United States who considered the idea of ​​replacing the natural lens of the eye with an artificial one too radical and unacceptable for the period.

Over the next twenty years the idea of ​​lens implants for cataracts slowly became more acceptable. In 1968, an American surgeon, Charles Kelman adapted the new technology of ESWL to remove cataracts. The procedure, later known as phacoemulsification, used a tiny probe with a vibrating tip to gently break up the cataract and wash it away. The techniques of phacoemulsification and plastic lens implant technology were combined and the science of cataract surgery was revolutionized. In 1981, a Ridley protégé named Choyce obtained the first FDA approval of intraocular lenses. It was the same year that Irish Republican hunger striker, Bobby Sands died in the Maze prison. Today, after decades of development, modern phacoemulsification is considered one of the safest surgeries performed with millions of successful procedures performed each year around the world.

Today the use of therapeutic ultrasound in the form of extracorporeal shock wave therapy has found its way into many other aspects of medicine with recent advances in machines designed specifically for use on arms and legs to treat the chronic localized pain that is associated with chronic. tendinitis However, its main use may still prove to be the most interesting as the “Tel Aviv Fat-buster”. In fact, the association of ultrasound with the destruction of fat cells begins many years before. It may have started already in 1921, when a French surgeon named Dujarrier, decided to practice the new art of liposuction in an attempt to create a better shape on the knees of a young ballerina. Unfortunately his patient developed gangrene and required amputation. It was the same year that the new Irish Free State was established. After this initial failure, things remained quiet for many years, through the advent of antibiotics, the Second World War and while the Beatles raced up the charts with “Can’t Buy Me Love”, a Cologne surgeon named Josef Schrudde decided to try. the technique again of one’s ankles.

The second attempt was much more successful and luckily the patient lived to tell the tale. In 1974, an Italian gynecologist named Giorgio Fischer further developed the technique with the invention of an electric, rotating scalpel encapsulated by a cannula that sucked out expelled cells. In 1978 the technique was taken to Paris where it was refined and popularized by the French plastic surgeon Yves-Gerard Illouz. In 1982, Illouz presented a new form of lipolysis using blunt cannulas and high vacuum suction with reproducible good results and low morbidity and a new era of liposuction arrived. It was the same year that American film actress Princess Grace died on a mountain road in Monaco.

During the eighties other cannulas were developed by Kesselring and Meyer while the father of aesthetic medicine Pierre Fournier developed another technique using a syringe. In this period, liposuction reached the United States but quickly fell out of favor due to increased complications and several deaths. It now appears that many of the deaths were related to Plastic Surgeons combining liposuction with abdominoplasty “tummy tucks”. In 1985 a California Dermatologist, Jeffrey Klein, invented and pioneered a new tumescent method Technique, the safest method known. He was assisted in this development by a Colorado dermatologist, Patrick Lillis. In 1987, an Italian Plastic Surgeon from La Sapienza University in Rome named Professor Nicolo Scuderi introduced the use of ultrasound as an emulsifying modality for fatty tissue during liposuction and a new era of “fat breaking” began. This technique was further modified when Zocchi introduced titanium ultrasound probes and manual remodeling of the treated areas to eliminate the fluid from the ruptured fat cells in 1992. It was the same year that Democratic Party candidate William J. Clinton was swept to power in the United States. . presidential election and the world witnessed three days of rioting in Los Angeles after four white police officers were acquitted of criminal charges despite video evidence they beat a black motorist, Rodney King.

In 1998, California Plastic Surgeon, Barry Silberg elaborated on the technique using external ultrasound-assisted liposuction (XUAL). This method required traditional aspiration liposuction after the application of high-frequency ultrasound fields transmitted through the skin into moistened tissue. Silberg felt that this method led to a less traumatic surgery with a superior clinical outcome. There is little doubt that as an invasive modality, like tumescent liposuction, the technique still had many of the disadvantages that accompany invasive procedures. In addition, many doctors began to express opinions that the amount of ultrasound energy used to destroy the fat cells can also damage other tissues in contact with the cannula. Many felt that one of the technical disadvantages of the ultrasonic liposuction technique was that the cannula had to be inside the body. It was at this stage that a Tel Aviv plastic surgeon named Ami Glicksman considered the possibility of using external ultrasound waves to selectively break down fat cells without the patient having to undergo a surgical procedure.

In 2001, while the rest of the world was dealing with the aftermath of an Al-Qaeda terrorist attack on the World Trade Center in New York, Dr. Glicksman was in Tel Aviv investigating the feasibility of using external ultrasound to destroy fat cells. in pigs. His experiments were successful and he noted that lipolysis was selective leaving nearby tissues intact. Further macroscopic and microscopic analyzes of the upper skin noted that it also remained unaffected. The researchers quickly moved on from the pig models and tested the external ultrasound transducer to lyse human fat from ex vivo tissue harvested from skin flaps excised in hospital abdominoplasty procedures. These experiments also showed fat lysis only occurred in a specific region, leaving skin or fat outside the focused beam intact. The temperature on the skin and inside the focus was monitored and showed an increase of 1oC for an ultrasound treatment of 1-2 seconds. Additional human in vivo trials were initiated in Israel with participants treated with the ultrasound device prior to abdominoplasty in which the treated area was removed and analyzed. The first study of twenty patients began in 2002 monitoring the safety and effectiveness of the therapy. Histological evaluation of all tissues excised during surgery clearly showed that the external ultrasound treatment only destroyed fat cells, leaving intact blood vessels, connective tissue, nerves and epidermis.

In 2003, an American-organized coalition invaded Iraq with the stated reason that it had not abandoned its nuclear and chemical weapons development program in accordance with UN resolutions. In that year also, a large multicenter clinical trial with the external ultrasound device began in five locations in the United States, the UK, and Japan, in which 137 patients underwent a single treatment. The results showed that an average 2 cm reduction in circumference was observed after treatment. This is close to about 0.5 liters and the rest can be removed with an additional procedure performed one month later. The device has now obtained CE approval in Europe and more than 500 individuals have been commercially treated with the device in Ireland, Great Britain, Spain and Scandinavia, proving the safety and effectiveness of the treatment. FDA trials are currently underway with all expectations that they will soon approve the procedure.

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