Local anesthesia in anal surgery: a simple, safe procedure

2006 ◽  
Vol 191 (1) ◽  
pp. 111-113 ◽  
Author(s):  
Samuel Argov ◽  
Olga Levandovsky
Keyword(s):  
Local Anesthesia ◽  
Safe Procedure ◽  
Anal Surgery

Inferior Partial Turbinectomy: An Effective Procedure for Chronic Rhinitis

1994 ◽  
Vol 73 (6) ◽  
pp. 405-407 ◽  
Author(s):  
Steven Mucci ◽  
Aristides Sismanis
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Local Anesthesia ◽  
Nasal Obstruction ◽  
Effective Procedure ◽  
Safe Procedure ◽  
Success Rates ◽  
Chronic Rhinitis ◽  
Obstructive Sleep

The safety and effectiveness of inferior partial turbinectomy (IPT) as a treatment for refractory chronic rhinitis was studied. Fifty-five patients, 34 males and 21 females, underwent IPT for chronic rhinitis, the majority under local anesthesia and in conjunction with septoplasty. Relief of nasal obstruction, rhinorrhea, snoring, headache, and obstructive sleep apnea was subjectively measured after an average follow-up of 18 months. We noted particularly high success rates - 92.3% and 85.5% - for nasal obstruction and rhinorrhea, respectively. Complications, in the form of post-op bleeding, were low at 3.7%. We conclude that IPT is an effective and safe procedure when properly performed. This work should help otolaryngologists become more comfortable in performing this old but controversial technique for treating chronic rhinitis.

Preemptive Local Anesthesia in Ankle Arthroscopy

2016 ◽  
Vol 37 (12) ◽  
pp. 1326-1332 ◽  
Author(s):  
Henryk Liszka ◽  
Artur Gądek
Keyword(s):  
Postoperative Pain ◽  
Pain Intensity ◽  
Spinal Anesthesia ◽  
Local Anesthesia ◽  
Local Anesthetics ◽  
Randomized Study ◽  
Sensory Nerve ◽  
Ankle Arthroscopy ◽  
Intensity Level ◽  
Safe Procedure

Background: Complex anesthesia is increasingly used in order to reduce postoperative pain and accelerate rehabilitation. The aim of this study was to evaluate the efficacy and safety of preemptive local anesthesia combined with general or spinal anesthesia in ankle arthroscopy. Methods: From January 2014 to February 2016, 80 ankle anterior arthroscopies were performed. Patients were randomly assigned to one of 4 groups, depending on the type of anesthesia: A, general and local preemptive; B, spinal and local preemptive; C, general and placebo; D, spinal and placebo. After general or spinal anesthesia, each patient randomly received an injection of 7 mL of a mixture of local anesthetics or the same amount of normal saline. After 2, 4, 8, 12, 16, 24, 48, and 72 hours following the release of the tourniquet, the pain intensity level was measured with a visual analog scale (VAS). The use of additional analgesics and any adverse effects were also noted. Results: Preemptive local anesthesia (groups A and B) resulted in a significantly lower level of pain intensity during the first 24 hours after surgery. Until 8 hours after the release of the tourniquet, the pain intensity level was statistically lower in the groups A, B, and D in comparison to C. During hospitalization, none of the patients from groups A and B received on-demand ketoprofen intravenously. No side effects of local anesthetic agents were observed. Two patients had transient numbness and paresthesia in the field of sensory nerve innervation of the dorsal intermediate cutaneous nerve of the foot. Conclusion: Preemptive operative site infiltration with a mixture of local anesthetics performed in ankle arthroscopy was a safe procedure. It reduced the level of intensity of postoperative pain and the amount of analgesics used. Level of Evidence: Level I, prospective randomized study.

Safety and Satisfaction in High-Definition Power-Assisted Liposculpture in Men Under Local Anesthesia

2021 ◽  
pp. 074880682110247
Author(s):  
Paul von Waechter-Gniadek ◽  
Thomas Kündig ◽  
Pål Johansen ◽  
Roland Boeni
Keyword(s):  
Local Anesthesia ◽  
Deltoid Muscle ◽  
Fat Grafting ◽  
The Body ◽  
Safe Procedure ◽  
High Definition ◽  
High Satisfaction ◽  
High Satisfaction Rate ◽  
Male Patients ◽  
Satisfaction Rates

In high-definition liposculpture (HDL), the body is shaped in such a way that an athletic appearance and a defined, contoured look is created. Typical areas in the male patient include arms, pectoralis region, the area over the serratus muscle, lower back, as well as medial and lateral abdomen. This procedure is sometimes combined with fat grafting to areas over the deltoid muscle and/or pectorals. The objective was to evaluate the safety and satisfaction of HDL in a large series of patients using reciprocating power-assisted liposuction under local anesthesia. In this bicenter study, we performed HDL on 82 male patients using reciprocating power-assisted liposuction under tumescent local anesthesia with both lidocaine and prilocaine. No drains were used. Intraoperative and postoperative data were collected, and complication and satisfaction rates were evaluated after 6 months. All overall patients’ satisfaction was high. There were no major complications. Minor complications included seroma (n = 4), and 3 patients required touch-up surgery. There were no side-effects from the anesthesia, and there was no fluid overload. High-definition liposculpture using reciprocating power-assisted liposuction in local anesthesia is a safe procedure with a high satisfaction rate.

Prilocaine pharmacokinetics and the influence of vitamin C on methaemoglobin concentrations in tumescent anaesthesia

Phlebologie ◽  
2007 ◽  
Vol 36 (03) ◽  
pp. 145-150 ◽  
Author(s):  
A. Teichler ◽  
T. Standl ◽  
A. Diederich ◽  
I. Moll ◽  
G. Bruning
Keyword(s):  
Vitamin C ◽  
Dehydrogenase Activity ◽  
Local Anesthesia ◽  
Varicose Vein ◽  
Maximum Plasma ◽  
Safe Procedure ◽  
Varicose Vein Surgery ◽  
Tumescent Local Anesthesia ◽  
High Doses ◽  
Glucose 6 Phosphate Dehydrogenase

SummaryIn tumescent local anesthesia high doses of prilocaine are used but valid data on the pharmacokinetics and metabolism of prilocaine during this technique of anesthesia are rare. Patients, methods: In this study plasma prilocaine and methaemoglobin concentrations were measured after subcutaneous injection of prilocaine at doses of 6.69 to 19.21 mg/kg in one hundred patients undergoing varicose vein surgery under tumescent local anesthesia. Half of the patients were randomised to intravenous treatment with 2000 mg ascorbic acid. Glucose-6-phosphate dehydrogenase activity was measured preoperatively. Results: Maximum plasma prilocaine concentrations ranged between 0.14 and 0.86 μg/ml and thus remained below the toxic threshold. Methaemoglobin concentrations ranged between 0.4 and 16.9%. There was no significant effect of vitamin C on the methaemoglobin concentration. Glucose-6-phosphate dehydrogenase activity and methaemoglobin concentrations did not correlate. Conclusions: Tumescent anesthesia with prilocaine at a maximum dose of 20 mg/kg body weight is a safe procedure in varicose vein surgery although the risk of methaemoglobinemia is not reduced by using vitamin C.

The clinical pharmacokinetics of two different preparations of intrarectal Ketoprofen following spinal or local anesthesia for anal surgery

1991 ◽  
Vol 21 (6) ◽  
pp. 621-626 ◽  
Author(s):  
Kenji Tazawa ◽  
Shigeru Takemori ◽  
Shinichiro Hirokawa ◽  
Katsuya Yamamoto ◽  
Shigemi Katsuki ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Clinical Pharmacokinetics ◽  
Anal Surgery

scholarly journals Technique and Timing for Closed Reduction of Isolated Nasal Fractures: A Retrospective Study

2002 ◽  
Vol 81 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Gerd Jürgen Ridder ◽  
Carsten Christof Boedeker ◽  
Milo Fradis ◽  
Jörg Schipper
Keyword(s):  
General Anesthesia ◽  
Local Anesthesia ◽  
Closed Reduction ◽  
Airflow Obstruction ◽  
Clinical Findings ◽  
Lateral View ◽  
Safe Procedure ◽  
Course Of Action ◽  
Nasal Pyramid ◽  
Nasal Fractures

Isolated fractures of the nasal pyramid are among the most common facial injuries. Nevertheless, studies of therapeutic results following closed reduction of nasal fractures are rare. We conducted a retrospective clinical review of 187 patients who were evaluated for nasal trauma (including nondislocated fractures, dislocated fractures, and contusions) at our otolaryngology department during 1997 and 1998. Of this group, 96 fractures were treated with closed reduction—either under local anesthesia (n = 68), under general anesthesia (n = 21), or with concomitant septoplasty under general anesthesia (n = 7). At follow-up, which ranged from 1 to 2 years, 91 of the 96 patients (94.8%) expressed satisfaction with their results. Prior to deciding on a course of action, the surgeon must conduct a careful physical examination because the decision as to whether treatment is required, which technique to use (open vs closed reduction), and which type of anesthesia is appropriate (local vs general) all depend on the clinical findings, such as the degree of deviation and airflow obstruction. We also suggest that all patients receive both a Waters’ view and a lateral view x-ray. In our opinion, closed reduction is a safe procedure for isolated nasal fractures and can be performed with local anesthesia in most adult patients. Morbidity is minimal in the hands of an experienced ENT surgeon.

Local anesthesia and minilaparotomy: A safe procedure for tubal occlusion in women with severe health problems

Contraception ◽  
1987 ◽  
Vol 36 (2) ◽  
pp. 211-215 ◽  
Author(s):  
Vicente Díaz-Sánchez ◽  
Carlos Bonilla ◽  
Aldelmo Reyes ◽  
Alberto Valero ◽  
Mario Domenzáin ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Health Problems ◽  
Safe Procedure ◽  
Tubal Occlusion

scholarly journals Clinical Presentation and Surgical Outcomes of Chronic Subdural Hematoma

2021 ◽  
Vol 24 (4) ◽  
pp. 369-375
Author(s):  
Mukhtiar Ahmed ◽  
Fauzia Sajjad ◽  
Ajmal Khan ◽  
Talha Abass ◽  
Hamid Akbar ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Subdural Hematoma ◽  
Clinical Presentation ◽  
Drainage System ◽  
Chronic Subdural Hematoma ◽  
Safe Procedure ◽  
Medical College ◽  
Closed Drainage ◽  
Subdural Drain ◽  
Closed Drainage System

Objective: The aim of this study was to access clinical presentation of chronic subdural hematoma and to evaluate the surgical outcome of evacuation of chronic subdural hematoma after single burrhole craniotomy with a close drainage system under local anesthesia. Material & Methods:  A descriptive study conducted in the Neurosurgery Department of Khairpur Medical College Sindh. 30 patients of chronic subdural hematoma were included. Patients prepared for evacuation of chronic subdural hematoma through single burr hole followed by closed drainage system for two days. Results:  The most common feature was gait disturbance followed by Hemiparesis and headache. Coexisting diseases were hypertension, Diabetes mellitus and Chronic Liver Disease, etc. and causes of CSDH were head injury (trivial trauma) and anticoagulant. Surgical decisions were taken on the bases of clinical presentation and radiological findings of patients. Surgical procedure single burrhole craniotomy followed by irrigation with normal saline and close drainage system for two days. On post-operative follow-up, a recurrence of CSDH occurred in two patients. Conclusion:  Single burrhole craniotomy with close drainage system is a simple and safe procedure under local anesthesia for treatment of chronic subdural hematoma. Keywords:  CSDH (chronic subdural hematoma), GCS (Glasgow coma score), Burrhole craniotomy, Neurosurgery & Subdural drain.

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