Abstract The transversus abdominis plane (TAP) block acts on the nerves localised in the anterior abdominal wall muscles. We evaluated
the efficacy on post-bariatric (PB) patients undergoing body-contouring abdominoplasty. We retrospectively evaluated PB patients
undergoing abdominoplasty with flank liposuction and compared results to a matched group of TAP aesthetic patients. Outcomes
evaluated were the analgesic requirements during the early postoperative days. Fifty-one patients (PB nâ=â27, aesthetic nâ=â24) were assessed. No complications were observed. All PB patients required analgesia until the second postoperative day
contrarily to most aesthetic ones. Patients with greater flap resected and higher pre-abdominoplasty BMI had greater morphine
consumptions. In…
Source: MedWorm: Liposuction
by
surgeon |
Categories:
Procedure | Tagged:
Abdominis,
abdominoplasty,
Aesthetic,
Block,
Comparative,
Efficacy,
Flank,
Liposuction,
Plane,
Postbariatric,
Study,
Transversus |
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Conclusion: For patients undergoing liposuction using TLA exclusively, the concentration of lidocaine in the normal saline solution required for adequate anesthesia is 400 mg/L for most body areas and 500 mg/L for some sensitive areas. (Source: Journal of the American Academy of Dermatology)
Source: MedWorm: Liposuction
Conclusions:
Decreasing concentrations of lidocaine in infiltrative wetting solutions did not significantly affect intraoperative anesthesia requirements or postoperative pain with liposuction. Lower concentrations of lidocaine can effectively be used, use of any lidocaine may be unnecessary. Future investigations may examine whether total elimination of lidocaine yields similar results in terms of anesthesia requirements and postoperative pain. (Aesthetic Surg J 2009;29:122–128.) (Source: Aesthetic Surgery Journal)
Source: MedWorm: Liposuction
Dermatology (DOI:10.1159/000277624) (Source: Dermatology)
Source: MedWorm: Liposuction
