Tumescent Anesthesia For Dermatologic Surgery
Dermatologic Surgery
1998 Abstract
9807-755 Namias
Namias A, Kaplan B.
Tumescent anesthesia for dermatologic surgery. Cosmetic and noncosmetic
procedures. Dermatol Surg. 1998 Jul;24(7):755-8. PMID: 9693670
Comment in:
Dermatol Surg. 1999 Feb;25(2):152.
Department of Dermatology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
BACKGROUND:
Tumescent anesthesia was originally described by Klein and Lillis for liposuction surgery. Its extension to many other interventions in dermatologic surgery (cosmetic and noncosmetic) has provided a significant contribution in the performance of safe, ambulatory, and simplified procedures.
OBJECTIVE:
To demonstrate the validity of the technique in various procedures.
METHODS:
Over the course of 1 year all large reconstruction or cosmetic surgery was performed using tumescent anesthesia. In a total of 242 cases performed, the
advantages and disadvantages of the procedure were analyzed.
RESULTS:
Tumescent anesthesia was found to be very effective in achieving adequate anesthesia for performance of the reconstructive or cosmetic procedures. Good patient
compliance was achieved with no serious sequelae.
CONCLUSION:
Tumescent anesthesia is one the most substantial progressions in the field of cosmetic and reconstructive surgery, with advantages that by far outnumber the few
disadvantages.