Safety of Tumescent Liposuction under Local Anesthesia in a Series of 4,380 Patients

Dermatology ◽  
2011 ◽  
Vol 222 (3) ◽  
pp. 278-281 ◽  
Author(s):  
Roland Boeni
Keyword(s):  
Local Anesthesia ◽  
Tumescent Liposuction

Circumferential Liposuction of the Female Arm

2018 ◽  
Vol 36 (3) ◽  
pp. 125-129
Author(s):  
Roland Boeni
Keyword(s):  
Local Anesthesia ◽  
Obese Patients ◽  
Skin Tightening ◽  
Female Patients ◽  
Skin Excision ◽  
Tumescent Liposuction

Traditionally, liposuction of the upper arms addresses only the posterolateral aspect. We evaluated the efficacy of circumferential arm liposuction in a larger series of patients. Power-assisted tumescent liposuction in local anesthesia was performed on 79 female patients with enlarged upper arms. All patients showed an immediately visible reduction of the circumference of the upper arms and there was a significantly improved skin tightening effect. There were no complications. Circumferential liposuction of the upper arms is a not very well known, superior technique to reduce arm fat, which obviates skin excision in most cases. Using this approach, surgeons can expand their client base by including elderly and obese patients with skin ptosis who seek leaner and athletic looking arms without scars.

Tumescent Liposuction under General Anesthesia

1992 ◽  
Vol 9 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Howard A. Tobin
Keyword(s):  
Blood Loss ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Autologous Transfusion ◽  
Tumescent Liposuction ◽  
Liposuction Surgery ◽  
Hemostatic Effects

Tumescent liposuction has been recently established as a technique of infiltration of dilute concentrations of lidocaine and adrenalin, which appears to drastically limit the amount of blood loss during liposuction surgery. Previous reports focused on its use under local anesthesia. I have found that it is equally applicable to patients undergoing liposuction surgery under general anesthesia and have also found that the concentration of adrenalin can be reduced from 1: 1,000,000 to 1: 4,000,000 without compromising the hemostatic effects. The technique allows relatively large amounts of fat to be aspirated safely without autologous transfusion.

Safety of Tumescent Liposuction Under Local Anesthesia in 9,002 Consecutive Patients

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Roland Boeni ◽  
Paul v. Waechter-Gniadek
Keyword(s):  
Local Anesthesia ◽  
Tumescent Liposuction

Mental imagery and intraoral local anesthesia

1984 ◽  
Vol 48 (12) ◽  
pp. 653-658
Author(s):  
MM Walsh ◽  
R Hannebrink ◽  
B Heckman
Keyword(s):  
Local Anesthesia ◽  
Mental Imagery

1117: Percutaneous CT-Guided Renal Cryoablation Under Local Anesthesia: Pain Assessment

2006 ◽  
Vol 175 (4S) ◽  
pp. 359-359
Author(s):  
Sompol Permpongkoso ◽  
Aaron Sulman ◽  
Stephen B. Solomon ◽  
GaryX Gong ◽  
Louis R. Kavoussi
Keyword(s):  
Local Anesthesia ◽  
Pain Assessment ◽  
Ct Guided

Successful Endovascular Repair of a Leaking Abdominal Aortic Aneurysm under Local Anesthesia

Swiss Surgery ◽  
2001 ◽  
Vol 7 (2) ◽  
pp. 86-89 ◽  
Author(s):  
Lachat ◽  
Pfammatter ◽  
Bernard ◽  
Jaggy ◽  
Vogt ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Ct Scan ◽  
Local Anesthesia ◽  
Endovascular Repair ◽  
Anesthetic Management ◽  
High Risk Patient ◽  
Invasive Technique ◽  
Chronic Obstructive ◽  
Abdominal Aortic

Local anesthesia is a safe and less invasive anesthetic management for the endovascular approach to elective aortic aneurysm. We have successfully extended the indication of local anesthesia to a high-risk patient with leaking aneurysm and stable hemodynamics. Patient and methods: A 86 year old patient with renal insufficiency due to longstanding hypertension, coronary artery and chronic obstructive lung disease was transferred to our hospital with a leaking abdominal aortic aneurysm. Stable hemodynamics allowed to perform a fast CT scan, that confirmed the feasibility of endovascular repair. A bifurcated endograft (24mm x 12mm x 153mm) was implanted under local anesthesia. Results: The procedure was completed within 85 minutes without problems. The complete sealing of the aneurysm was confirmed by CT scan on the third postoperative day. Twenty months later, the patient is doing well and radiological control confirmed complete exclusion of the aneurysm. Discussion: The endoluminal treatment is a minimally invasive technique. It's feasibility can be rapidly assessed by CT scan. The transfemoral implantation can be performed under local anesthesia provided that hemodynamics are stable. This anesthetic management seems to be particularly advantageous for leaking abdominal aortic aneurysm since it doesn't change the hemodynamic situation in contrast to general anesthesia. Hemodynamic instability, abdominal distension or tenderness may indicate intraperitoneal rupture and conversion to open graft repair should be performed without delay.

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