98dsNamias755

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.