scholarly journals Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction

2018 ◽  
Vol 6 (11) ◽  
pp. 2073-2078 ◽  
Author(s):  
Ahmed Abdalla Mohamed ◽  
Tamer Fayez Safan ◽  
Hamed Fathy Hamed ◽  
Maged Abdelwahab Abdelaziz Elgendy
Keyword(s):  
Surgical Procedure ◽  
Oral Intake ◽  
Injection Pain ◽  
Local Infiltration ◽  
Total Satisfaction ◽  
Anaesthetic Procedure ◽  
Local Infiltration Anesthesia ◽  
Surgical Manipulations ◽  
Infiltration Anesthesia ◽  
Surgeon Satisfaction

AIM: To evaluate the feasibility and safety of mini abdominoplasty with liposuction under local tumescent anaesthesia (LA) as the sole anaesthetic modality. METHODS: The study included 60 female patients with a mean age of 33.3 ± 5.6 years. Local infiltration using a mixture of 1:1000 epinephrine (1 ml), 2% lidocaine (100 ml) and 0.5% Levobupivacaine (50 ml) in 2500 ml saline was started with Local infiltration started with the abdomen, outer thigh, hips, back, inner thighs and knees. After Mini Abdominoplasty with supplemental liposuction was conducted and application of suction drains wound closure was performed, and the tight bandage was applied. Pain during injection, incision and surgical manipulations was determined. Duration of postoperative analgesia, till oral intake and return home, patients and surgeon satisfaction scores were determined. RESULTS: All surgeries were conducted completely without conversion to general anaesthesia. Injection pain was mild in 46 patients, moderate in 10 and hardly tolerated in 4 patients. Incision pain was mild in 16 patients, while 44 patients reported no sensation. During the surgical procedure, 6 patients required an additional dose of LA. Meantime till resumption of oral intake was 1.6 ± 0.9 hours. Meantime till home return was 5.6 ± 2.4 hours. Twelve patients were highly satisfied, 18 patients were satisfied, and these 42 patients were willing to repeat the trial if required. Eight patients found the trial is good and only one patient refused to repeat the trial and was dissatisfied, for a mean total satisfaction score of 3.1 ± 0.9. CONCLUSION: Mini Abdominoplasty with liposuction could be conducted safely under tumescent LA with mostly pain-free intraoperative and PO courses and allowed such surgical procedure to be managed as an office procedure. The applied anaesthetic procedure provided patients’ satisfaction with varying degrees in about 97% of studied patients.

scholarly journals Efficacy of different concentrations of lidocaine and association of vasoconstrictor in local infiltration anesthesia in adults

2021 ◽  
Author(s):  
Lury Bueno Wako Kitahara ◽  
Vanessa Paula da Silva ◽  
Gabriel Peres ◽  
Hélio Amante Miot ◽  
Juliano Vilaverde Schmitt
Keyword(s):  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

scholarly journals Local infiltration anesthesia in tenolysis surgery

2017 ◽  
Vol 6 (2) ◽  
pp. 1
Author(s):  
Gokce Yildiran ◽  
Osman Akdag ◽  
Mehtap Karamese ◽  
Zekeriya Tosun
Keyword(s):  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

Local infiltration anesthesia during operations to remove fibroids from the base of the skull

1930 ◽  
Vol 26 (3) ◽  
pp. 278-280
Author(s):  
I. V. Domrachev
Keyword(s):  
Carotid Arteries ◽  
Severe Bleeding ◽  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Base Of The Skull ◽  
Infiltration Anesthesia

Tumors of the nasopharyngeal space (fibroids of the base of the skull) are still considered complex and difficult due to their position, the lack of pathways for access to them and severe bleeding during their removal. A number of methods have been proposed for deleting them with preliminary operations for accessing them. In this message I will not go into consideration and evaluation of all these methods, because they are well known. I will only point out that in the fight against bleeding, surgeons did not stop even before such a heroic measure as ligation of the carotid arteries. In addition to preliminary methods for stopping bleeding, some authors offer various methods for stopping bleeding at the time of the operation itself after cutting off the leg. Prof. Razumovsky simply suggests pressing the bleeding place with a finger, prof. Nikolsky recommends autotamponade of the tumor itself, etc. This shows how difficult it is to fight bleeding at the time of the operation itself.

About postoperative acidosis with local infiltration anesthesia

1930 ◽  
Vol 26 (1) ◽  
pp. 47-52
Author(s):  
V. I. Pshenichnikov ◽  
P. S. Krestnikov
Keyword(s):  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

Recently, there have appeared many works devoted to the postoperative disturbance of the alkaline-acid balance of the organism, denoted by acidosis. The authors put this condition in dependence on a number of reasons and, among other things, on the method of anesthesia.

scholarly journals Local Anesthesia for Port Catheter Placement in Oncology Patients: An Alternative to Landmark Technique Using Ultrasound-Guided Superficial Cervical Plexus Block—A Prospective Randomized Study

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Hakan Akelma ◽  
Fikret Salık ◽  
Mustafa Bıçak ◽  
Meral Erdal Erbatur
Keyword(s):  
Local Anesthesia ◽  
Port Catheter ◽  
Cervical Plexus ◽  
Local Infiltration ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Local Infiltration Anesthesia ◽  
Plexus Block ◽  
Infiltration Anesthesia ◽  
Landmark Technique

Background/Objectives. Most patients that require port operation have experienced severe pain due to multiple surgeries in the past. Therefore, these patients have fear of pain before the procedure. This study aims to compare superficial cervical plexus block (SCPB) with local infiltration anesthesia in terms of comfort. Methods. 100 cancer-diagnosed patients were divided into two groups. The first group, the landmark technique with local infiltration anesthesia, was used for intravenous entry (Group LM, n = 50). The second group, USG, was used for venous entry with SCPB as anesthesia (Group US, n = 50). The type of local anesthesia, port placement technique, duration of the procedure, number of procedures, complications, visual analog scale (VAS) score, and surgeon’s satisfaction with the procedure were recorded. Results. It was established that an average of 1.7 and 1.1 attempts was conducted in Groups LM and US, respectively (P = 0.010). VAS scores were found to be 4.04 in Group LM and 2.62 in GroupUS (P = 0.001). Surgeon satisfaction was 1.96 in GroupLM and 2.38 in GroupUS (P = 0.014). The mean duration of the procedure was 22.10 minutes in GroupLM and 43.50 minutes in GroupUS (P = 0.001). Complication rates were observed in 1 patient in GroupLM and 9 patient in GroupUS (P = 0.040). Conclusions. In the patient group with a high level of pain and anxiety port catheter placement using USG and SCPB, supported by routine sedation, provides better comfort for both patient and surgeon.

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