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Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction
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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Republic of Macedonia
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290441/ https://www.ncbi.nlm.nih.gov/pubmed/30559863 http://dx.doi.org/10.3889/oamjms.2018.475 |
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author | Mohamed, Ahmed Abdalla Safan, Tamer Fayez Hamed, Hamed Fathy Elgendy, Maged Abdelwahab Abdelaziz |
author_facet | Mohamed, Ahmed Abdalla Safan, Tamer Fayez Hamed, Hamed Fathy Elgendy, Maged Abdelwahab Abdelaziz |
author_sort | Mohamed, Ahmed Abdalla |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6290441 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Republic of Macedonia |
record_format | MEDLINE/PubMed |
spelling | pubmed-62904412018-12-17 Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction Mohamed, Ahmed Abdalla Safan, Tamer Fayez Hamed, Hamed Fathy Elgendy, Maged Abdelwahab Abdelaziz Open Access Maced J Med Sci Clinical Science 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. Republic of Macedonia 2018-11-19 /pmc/articles/PMC6290441/ /pubmed/30559863 http://dx.doi.org/10.3889/oamjms.2018.475 Text en Copyright: © 2018 Ahmed Abdalla Mohamed, Tamer Fayez Safan, Hamed Fathy Hamed, Maged Abdelwahab Abdelaziz Elgendy. http://creativecommons.org/licenses/CC BY-NC/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). |
spellingShingle | Clinical Science Mohamed, Ahmed Abdalla Safan, Tamer Fayez Hamed, Hamed Fathy Elgendy, Maged Abdelwahab Abdelaziz Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction |
title | Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction |
title_full | Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction |
title_fullStr | Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction |
title_full_unstemmed | Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction |
title_short | Tumescent Local Infiltration Anesthesia for Mini Abdominoplasty with Liposuction |
title_sort | tumescent local infiltration anesthesia for mini abdominoplasty with liposuction |
topic | Clinical Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290441/ https://www.ncbi.nlm.nih.gov/pubmed/30559863 http://dx.doi.org/10.3889/oamjms.2018.475 |
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