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Excision of Large Lipomas Using Tumescent Local Anesthesia
Daichi Morioka1, Nobuhiro Sato2, Fumio Ohkubo2
1Department of Plastic and Reconstructive Surgery, Showa University, Tokyo, Japan dmorioka@gmail.com.
Journal of Cutaneous Medicine and Surgery
|January 6, 2016
Summary
Large lipoma excision is safely performed using tumescent local anesthesia in an outpatient setting. This method avoids general anesthesia risks for patients with large lipomas.
Area of Science:
- Dermatologic Surgery
- Plastic Surgery
- Surgical Oncology
Background:
- Large lipomas often necessitate general anesthesia due to extensive local anesthetic requirements.
- Alternative anesthesia methods are sought to improve patient safety and outpatient feasibility.
Purpose of the Study:
- To evaluate the safety and efficacy of tumescent local anesthesia for large lipoma excision.
- To determine if large lipomas can be managed in an outpatient setting using this technique.
Main Methods:
- Total excision of solitary large lipomas using tumescent local anesthesia.
- Performed in an outpatient clinic setting for 23 patients.
- Utilized magnetic resonance imaging for lesion assessment.
Main Results:
- Lesion diameters ranged from 10 to 22 cm.
- Average skin incision length was 4.8 cm with 56 mL tumescent solution used.
- All patients, except one with a hematoma, had uneventful postoperative recovery.
Conclusions:
- Judicious patient selection based on physical examination and MRI is crucial.
- Total excision of large lipomas under tumescent local anesthesia is a safe outpatient procedure.
- This approach offers a viable alternative to general anesthesia for large lipoma removal.
