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Related Experiment Videos

[Tumescent local anesthesia in proctologic surgery].

D Bussen1, M Sailer, K-H Fuchs

  • 1Chirurgische Universitätsklinik Würzburg. bussen@mail.uni-wuerzburg.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 25, 2003
PubMed
Summary
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Tumescent local anesthesia (TLA) offers a safe and effective method for various proctologic surgeries, allowing for outpatient procedures with complete pain relief and prolonged anesthesia. This technique facilitates day surgery cases, improving patient outcomes.

Area of Science:

  • Proctologic Surgery
  • Anesthesiology
  • Ambulatory Surgery

Background:

  • Tumescent local anesthesia (TLA) is established in plastic surgery.
  • Its application in proctologic surgery requires evaluation.

Purpose of the Study:

  • To assess the safety and efficacy of TLA in proctologic procedures.
  • To determine if TLA enables outpatient proctologic surgery.

Main Methods:

  • 50 proctologic procedures performed using TLA as day surgery cases.
  • Procedures included thrombectomy, fistula resection, fissurectomy, and tumor excision.
  • Tumescent solution comprised Ringer's, Mepivacaine, and epinephrine.

Main Results:

  • Average infusion time: 14.3 minutes; volume: 93.1 ml.

Related Experiment Videos

  • Complete pain relief achieved within 18.3 minutes.
  • Anesthesia duration averaged 6.7 hours; two moderate hematomas reported.
  • Conclusions:

    • Slow infusion TLA is widely applicable and safe in proctologic surgery.
    • TLA facilitates the performance of proctologic procedures on an outpatient basis.