Ambulatory Phlebectomy Using the Tumescent Technique for Local Anesthesia

Abstract

The authors consider the tumescent anesthesia technique to be highly effective and an important adjunct to the procedure of ambulatory phlebectomy.

Estimated Maximal Safe Dosages of Tumescent Lidocaine

“…The mean Tmax without liposuction was 13.1 hours (range, 8-24), which was not significantly different from the mean Tmax with liposuction 12.5 hours (range, [8][9][10][11][12][13][14][15][16][17][18]; P = 0.19).…”

Tumescent anesthesia reduces pain associated with balloon angioplasty of hemodialysis fistulas

“…In the 1930s, the terms "massive infiltration" and "hypodermoclysis" described a method similar to that used by plastic surgeons performing liposuction today. 5 Vascular surgeons adopted this technique for office-based varicose vein stripping 6,7 and laser ablation of the saphenous vein. 8 Major advantages of tumescent local anesthesia include the ability to treat larger areas with fewer injections and a reduced risk of lidocaine toxicity.…”

Hydrodissection Breast Augmentation Through the Axillary Approach

“…(3,4) Tumescent anesthesia and expansion with tumescent fluid have been used for saphenous vein stripping, (5,6) as an adjunct to breast implant removal and capsulectomy, (7) palate surgery, (8) hair micrografting, (9) face lift, (10)(11)(12)(13) ambulatory phlebectomy, (14)(15)(16)(17) abdominoplasty, (18) dermabrasion, (19)(20) facial hemangiomas, (21) and harvesting split-thickness skin grafts. (22) CONCLUSIONS Hydrodissection axillary breast augmentation is superior to and has fewer complications than other techniques (Fig.…”