Large-volume liposuction for out-patients under local anesthesia with tumescent technique
- VernacularTitle:门诊局部麻醉下大范围脂肪抽吸术
- Author:
Weigang CAO
- Publication Type:Journal Article
- Keywords:
Liposuction;
Tumescent technique
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the feasibility and effects of tumescent anesthesia on out-patients base in large-volume liposuction. Methods A total of 184 times of large volume liposuction in 154 patients were performed under tumescent technique with 0.05 % lidocaine and 1∶500,000 epinephrine. The whole abdomen, hypochondrium and waist areas or the posterior, lateral, medial aspects of the legs and the subgluteal regions were covered in one operation. The total injected tumescent liquid is from 2 200 ml to 5250 ml, the average was 2 730 ml. The dose of lidocaine was less than 40 mg/kg body weight or less than 2.4g in total. Results Some patients felt little discomfort during tumescent liquid injection, but all patients tolerated the procedure well under lower-concentration lidocaine without assistance of any analgesics or sedatives, the suctioned volume was 1 900~4 200 ml (the average 2 568 ml) and the supernatant of the suctioned volume was 1 200~3 400 (the average 2 036 ml). Conclusions It is practicable to perform large-volume liposuction using lower-concentration lidocaine tumescent technique with good persistent results.