[Tumescence local anesthesia in venous surgery]

After the long standing application of the tumescent solution with percutaneous sticks the tumescent technique in combination with the Rofil Medro-pump represents at the moment a very elegant and innovative method of local anesthesia in the field of phlebosurgery. Since 1997 the tumescent technique has been used in our hospital for all major surgeries in the field of phlebosurgery. Even more difficult operations like inguinal relapse-varicosis or acute thrombophlebitis are successfully performed with this method. From our experience the advantages of this method are a reduced bleeding, less hematomas, an insignificant risk of thrombosis and embolism, an antibacterial effect, the hydrodissection and anodynia. Using very large volumes painless surgical treatment of complicated and extended findings is possible. Essential disadvantages (like a wet surgical field, which needs to get used to) hardly exist neither for the patient nor for the surgeon. Therefore, the tumescent technique represents a safe, comfortable and almost painless kind of local anesthesia of the skin and the subcutaneous fatty tissue.