[Hypersensitivity to tumescent local anesthesia in dermatosurgical procedures]

Tumescent local anesthesia (TLA) offers many advantages in major and minor dermatosurgical procedures, especially in elderly and multimorbid patients in whom general anesthesia is sometimes associated with major risks. LA intolerances are rare. In our experience, TLA is a safe method despite the mixture of different LA. Monitoring of the patient during TLA is necessary. Clarification of a history of LA intolerance prior to surgical treatment is useful; however, a negative test does not reliably rule out an allergic reaction.