Safety of Liposuction Using Exclusively Tumescent Local Anesthesia in 3,240 Consecutive Cases
Safety of Liposuction Using Exclusively Tumescent Local Anesthesia in 3,240 Consecutive Cases
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DOI：
10.1111/j.1524-4725.2009.01284.x
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发表时间：
2009-11-01
影响因子：
2.4
通讯作者：
Habbema, Louis
中科院分区：
文献类型：
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作者：
Habbema, Louis
背景：许多外科医生认为使用肿胀局部麻醉(TLA)吸脂是一种安全的技术，但当TLA与其他技术(如全身麻醉或静脉用药)相结合时，或者当违反与TLA相关的指南时，就会发生严重的并发症和死亡。目的调查使用TLA吸脂是否安全。方法同一外科医生在3240例手术中仅使用TLA进行吸脂手术。结果3240例手术中，无死亡病例，无住院并发症发生。在9例患者中，出现了需要进一步处理的并发症。结论只要严格遵守现有的指导原则，单独使用TLA吸脂是一种被证明是安全的方法。
BACKGROUND Many surgeons consider liposuction using tumescent local anesthesia (TLA) to be a safe technique, but when TLA has been combined with other techniques, such as general anesthesia or intravenous medication, or when the guidelines associated with TLA have been violated, serious complications and deaths have occurred. This has resulted in uncertainty concerning the safety of liposuction using TLA, which this article seeks to resolve.OBJECTIVE To investigate whether liposuction using TLA is a safe procedure.METHODS The same surgeon performed liposuction using exclusively TLA in 3,240 procedures. Detailed records were kept of the complications that occurred.RESULTS In a series of 3,240 procedures, no deaths occurred, and no complications requiring hospitalization were experienced. In nine cases, complications developed that needed further action.CONCLUSIONS Liposuction using exclusively TLA is a proven safe procedure provided that the existing guidelines are meticulously followed.