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Cardiac arrhythmias are a potential complication in phenol face peeling. A comprehensive review of the literature is presented here demonstrating its reported incidence, as well as the actions of phenol both locally and systemically. In addition to the conventional measures that are presently followed in chemical face peeling, we present further recommendations for the prevention of cardiac arrhythmias. These include maintaining the patient with a sufficient fluid load, forcing diuresis with furosemide, and using lidocaine hydrochloride as a prophylactic antiarrhythmic agent. These guidelines will help avoid serious and even lethal complications.

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No abstract

A surgical procedure that can be used either as an alternative to saphenous vein stripping or as a supplement to it has been developed and used successfully at the Straith Clinic for the past 12 years. The method avoids surgical scars and pigmentation, is simple enough to do with use of local anesthesia, and does not require hospitalization. That the patient can remain ambulatory is another desirable feature. Follow-up of 16 patients who have undergone this procedure has been very encouraging.