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Adham Zaazaa, Taymour Mostafa
INTRODUCTION: Spontaneous penile tumescence after penile prosthesis implantation has been sporadically reported in the literature. AIM: To preserve residual erectile function of patients' spontaneous penile tumescence by sparing cavernous tissue in the course of malleable penile prosthesis implantation. METHODS: Overall, 92 patients were randomized into 2 equal arms; patients undergoing conventional malleable penile prosthesis implantation, and patients undergoing the cavernous tissue-sparing technique...
February 14, 2019: Journal of Sexual Medicine
Marco Leopardi, Alessia Salerno, Angelica Dante, Vincenza Cofini, Stefano Necozione, Marco Ventura
OBJECTIVE: The aim of this study is to compare two groups of patients treated for great saphenous vein (GSV) reflux with open surgical saphenofemoral ligation (SFL) and EndoVenous Laser Ablation (EVLA) MATERIALS AND METHODS: Consecutive patients with primary unilateral GSV reflux undergoing EVLA treatment since 2014 were enrolled, and another series of patients treated with SFL was considered. The patients were stratified according to treatment and the results were compared using the propensity score (1:1)...
February 12, 2019: Annals of Vascular Surgery
Seung Joon Park, Su Bin Yim, Dae Won Cha, Sung Chul Kim, Jo Han Rhee
Cyanoacrylate ablation, along with mechanochemical ablation, is one of the best-known non-thermal ablation treatment methods for superficial venous reflux. Cyanoacrylate ablation is comparable to thermal ablation in terms of efficacy and safety, and offers the benefit of not requiring tumescent injections and the use of compression stockings. Here, we report about a patient who developed recurrent reflux in the residual stump after cyanoacrylate ablation. As a refluxing long residual stump can be a risk factor for late recurrence, improvements are needed to make the protocol more refined, including leaving the stump as short as possible...
2019: SAGE Open Medical Case Reports
Anne B Halk, Louis Habbema, Roel E Genders, C William Hanke
BACKGROUND: There is an increasing demand for safety standards for cosmetic treatments. With regard to liposuction, interdisciplinary consensus is lacking, especially regarding treatment setting and physician specialty. OBJECTIVE: A solid, independent interpretation of scientific data on safety requires a systematic approach, which is the aim of this study. METHODS: A systematic literature search was conducted for safety studies about liposuction through April 2017...
January 28, 2019: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Theddeus O H Prasetyono, Nadia Kusumastuti
BACKGROUND: This study aimed to find out the optimal time delay of epinephrine in one-per-mil tumescent solution containing 1:1,000,000 epinephrine and 0.2% lidocaine to achieve optimal visualization in hand surgery. MATERIALS AND METHODS: Twelve healthy male subjects who volunteered to join this prospective, randomized, double blind study were selected with convenient sampling technique. The subject's hand and the solution, either the one-per-mil or normal saline solution, were randomly selected...
December 17, 2018: Journal of Surgical Research
Tjun Y Tang, Harsha P Rathnaweera, Jia W Kam, Tze T Chong, Edward C Choke, Yih K Tan
OBJECTIVES: The aim of this prospective single-centre study is to assess the effectiveness and patient experience of the VenaSeal™ Closure System, a novel non-thermal, non-tumescent catheter technique, which uses cyanoacrylate glue to occlude the refluxing truncal superficial veins to treat varicose veins and chronic venous insufficiency, in a multi-ethnic Asian population from Singapore. METHODS: Seventy-seven patients (93 legs; 103 procedures) underwent VenaSeal™ Closure System ablation...
January 28, 2019: Phlebology
Erica Y Xue, Jerette J Schultz, Paul J Therattil, Jonathan D Keith, Mark S Granick
Objective: Indocyanine green laser angiography utilizes fluorescent dye to assess tissue perfusion in real time. While various studies have recommended against the concurrent use of indocyanine green angiography with vasoconstrictors, few studies have described the intraoperative effect of tumescent wetting solutions on indocyanine green angiography and its subsequent impact on scan interpretation and clinical decision-making. Methods: A retrospective medical record review was performed for cases in which indocyanine green angiography was utilized to assess an area where epinephrine-based tumescent solution had been used...
2019: Eplasty
Raffaele Ceccarino, Rosa Di Micco, Renato Cappelletti
Throughout the last decade, aesthetic breast surgery has enormously spread in the outpatient clinic setting where plastic surgeons perform the vast majority of procedures under local anesthesia as day-case operations. The "tumescent anesthesia" is defined as the injection of a dilute solution of local anesthetic combined with epinephrine and sodium bicarbonate into subcutaneous tissue until it becomes firm and tense, which is "tumescent." The "cold tumescent anesthesia" (CTA) derives from Klein's solution with the introduction of a new concept, which is the low temperature (4°C) of the injected solution...
January 21, 2019: Annals of Plastic Surgery
Uwe Wollina, Birgit Heinig
Lipedema is a painful disease of subcutaneous adipose tissue leading to bilateral increase of leg and/ or arm volume, but sparing hands and feet. Although conservative treatment with complex decongestive therapy has been considered as the fundamental treatment, micro-cannular liposuction in tumescent anesthesia has become a surgical option. We report on 111 patients mostly with advanced lipedema treated by this technique in our center between 2007 and 2018. The median age of the patients was 44 years. Eighty percent of patients had at least one comorbidity...
January 14, 2019: Dermatologic Therapy
Thierry Garnaud, Julien Toulemonde
The outcome of upper limb tendon transfer surgery is improved when the patient is able to voluntarily contract specific muscles during the surgical procedure. Tumescent local anesthesia is suitable, but we describe an alternative option that involves the novel management of an axillary block. A 47-year-old man, injured in a motor vehicle crash, exhibited a thumb extensor deficit because of severe muscular trauma to the forearm. He underwent a tendon transfer of the fourth superficial flexor tendon to the extensor pollicis longus under an axillary block...
January 3, 2019: A&A practice
Zijun Zou, Haocheng Lin, Yan Zhang, Run Wang
INTRODUCTION: Nocturnal penile tumescence and rigidity (NPTR) monitoring with RigiScan was considered one of the most reliable methods to differentiate psychogenic erectile dysfunction (pED) from organic ED. However, its reliability has been questioned because of some limitations in the practice. AIM: To present contemporary views on the role of NPTR monitoring in the diagnosis of pED. METHOD: We performed a comprehensive review of English-language literature on NPTR and pED by a PubMed search...
January 3, 2019: Sexual Medicine Reviews
Jessica Tran, Daniel P Friedmann, Chloe Safaian, Vineet Mishra
No abstract text is available yet for this article.
January 2, 2019: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Charalampos Siotos, Jeffrey W Aston, David M Euhus, Stella M Seal, Michele A Manahan, Gedge D Rosson
BACKGROUND: Postoperative skin necrosis in surgical patients is costly to hospitals and health care providers. Tumescent dissection technique is commonly used in mastectomy and immediate breast reconstruction, as it helps reduce blood loss; however, it may increase the risk of mastectomy skin flap necrosis. In this context, the authors have conducted a systematic review of the literature to perform a meta-analysis of the relationship between tumescent technique in mastectomy with or without breast reconstruction and complication rates...
January 2019: Plastic and Reconstructive Surgery
Ahmed Abdalla Mohamed, Tamer Fayez Safan, Hamed Fathy Hamed, Maged Abdelwahab Abdelaziz Elgendy
AIM: To evaluate the feasibility and safety of mini abdominoplasty with liposuction under local tumescent anaesthesia (LA) as the sole anaesthetic modality. METHODS: The study included 60 female patients with a mean age of 33.3 ± 5.6 years. Local infiltration using a mixture of 1:1000 epinephrine (1 ml), 2% lidocaine (100 ml) and 0.5% Levobupivacaine (50 ml) in 2500 ml saline was started with Local infiltration started with the abdomen, outer thigh, hips, back, inner thighs and knees...
November 25, 2018: Open Access Macedonian Journal of Medical Sciences
Gozen Oksuz, Fatma Bilgen, Mahmut Arslan, Yakup Duman, Aykut Urfalıoglu, Bora Bilal
PURPOSE: The aim of this prospective, randomized, double-blind study was to compare the tumescent anesthesia method and erector spinae block with respect to postoperative analgesia consumption, pain scores and patient satisfaction, in patients receiving breast reduction surgery under general anesthesia. METHODS: The study included 44 females, aged 20-65 years, who were to undergo breast reduction surgery, without adjunctive liposuction on the breast. Using the closed envelope method, the patients were randomly separated into two groups to receive tumescent anesthesia or erector spinae block (ESB)...
December 10, 2018: Aesthetic Plastic Surgery
Christopher Wei Guang Ho, Yee Onn Kok, Si Jack Chong
BACKGROUND: Tumescent infiltration is a technique to reduce skin graft donor site bleeding, however there are no studies comparing tumescent solutions with different concentrations of adrenaline on donor site blood loss. We sought to evaluate the effect on skin donor site bleeding of different adrenaline concentrations in adrenaline-containing tumescent solutions in a prospective randomised trial. METHODS: Donor sites were marked into thirds and each segment randomised to receive tumescent infiltration containing no adrenaline, adrenaline 1:500,000, or adrenaline 1:250,000...
December 2018: Burns: Journal of the International Society for Burn Injuries
Christopher T Chia, Spero J Theodorou, Erez Dayan, Georges Tabbal, Daniel Del Vecchio
BACKGROUND: The gluteal lift ("Brazilian butt lift") has improved significantly in technique and in outcomes. Some postulate that fat embolism occurs because of damage to veins superficial to the gluteus muscles and that fat must be injected intramuscularly to achieve satisfactory aesthetic results. The purpose of this article is to present data where gluteal lift is performed under local anesthesia, address safety concerns, and clarify these speculations. METHODS: All patients underwent gluteal lift under local anesthesia using oral medications and tumescent infiltration...
December 2018: Plastic and Reconstructive Surgery
Jens Cordes, Michael Zimbelmann, Axel S Merseburger, Mario Kramer, Reinhard Vonthein, Hartwig Büttner, Andreas Recke, Birgit K Kahle
OBJECTIVE: The primary objective of our study was to investigate the impact of endovenous ablation of the great saphenous vein (GSV) on the degree of tumescence of the glans penis during penile erection as well as on global erectile function (EF). METHODS: We included patients scheduled for one of three different methods of endoluminal treatment. Our questionnaire was composed of the EF domain of the International Index of Erectile Function, an additional question that has been validated for assessment of swelling (tumescence) of the glans penis, and a question on the use of erectogenic medication...
November 23, 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Donald H Lalonde
Injection of tumescent local anesthesia should no longer be painful. WALANT anesthesia, strong sutures, a slightly bulky repair, intraoperative testing of active movement, and judicious venting of the A2 and A4 pulleys improve results in flexor tendon repair. WALANT K wire finger fracture reduction permits intraoperative testing of K wire stability with active movement to facilitate early protected movement at 3 to 5 days after surgery. WALANT can decrease costs and garbage production while increasing accessibility and affordability...
February 2019: Hand Clinics
Jennifer A Bossio, Manya Singh, Caroline F Pukall
INTRODUCTION: The current study aims to validate a new imaging tool to assess men's sexual psychophysiological responding: laser Doppler imaging (LDI), which directly measures subcutaneous genital blood flow. In this study, we concurrently assessed genital sexual arousal in a sample of men using the LDI and the current gold standard of male sexual psychophysiology, the penile strain gauge (PSG). AIM: To (i) assess the validity of the LDI as a measure of male sexual arousal, (ii) evaluate the relationship between the LDI and PSG, and (iii) compare sexual concordance produced by the LDI and PSG...
November 2018: Journal of Sexual Medicine
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