901 results match your criteria Tumescent Liposuction


Ultrasound-Guided Bilateral Erector Spinae Block Versus Tumescent Anesthesia for Postoperative Analgesia in Patients Undergoing Reduction Mammoplasty: A Randomized Controlled Study.

Aesthetic Plast Surg 2018 Dec 10. Epub 2018 Dec 10.

Anesthesiology and Reanimation, Kahramanmaraş Sutcu Imam University School of Medicine, Kahramanmaras, Turkey.

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). Read More

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December 2018

Discussion: Submuscular Breast Augmentation Using Tumescent Local Anesthesia.

Authors:
Dennis C Hammond

Aesthetic Plast Surg 2018 Dec 10. Epub 2018 Dec 10.

Partners in Plastic Surgery, 4070 Lake dr., Suite 202, Grand Rapids, MI, 49546, USA.

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December 2018

Photographic evaluation of different adrenaline-containing tumescent solutions on skin graft donor site bleeding: A prospective randomised trial.

Burns 2018 Dec 25;44(8):2018-2025. Epub 2018 Oct 25.

Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore. Electronic address:

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. Read More

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December 2018
1 Read

"Brazilian Butt Lift" under Local Anesthesia: A Novel Technique Addressing Safety Concerns.

Plast Reconstr Surg 2018 Dec;142(6):1468-1475

New York, N.Y.; Boston, Mass.; and Dallas, Texas From the Manhattan Eye, Ear & Throat Hospital; Harvard Plastic Surgery, Brigham & Women's Hospital, Massachusetts General Hospital; and the Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center.

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. Read More

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December 2018
1 Read

Latest Advances in Wide Awake Hand Surgery.

Authors:
Donald H Lalonde

Hand Clin 2019 Feb;35(1):1-6

Division of Plastic Surgery, Dalhousie University, Dalhousie Medicine New Brunswick, Suite C204, 600 Main Street, Saint John, New Brunswick E2K 1J5, Canada. Electronic address:

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. Read More

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February 2019
2 Reads

Shortening of Incision by "Pinch and Turn-Over Technique" in the Treatment of Axillary Osmidrosis.

Authors:
Eui-Tae Lee

Aesthetic Plast Surg 2018 Nov 9. Epub 2018 Nov 9.

Department of Plastic and Reconstructive Surgery, Chungbuk National University College of Medicine, 1, Chungdae-Ro, Seowon-gu, Cheongju, Chungbuk, 28644, Korea.

Background: The pinch and turn-over technique was developed to minimize the incision in the manual subdermal excision of apocrine glands in axillary osmidrosis for the best cure and fewest complications.

Methods: Through a 2-cm-long incision, peripheral subdermal tissue was excised by the technique under direct vision using intravenous anesthesia and tumescent technique. Ninety-nine axillae in 50 patients including seven secondary cases were operated on from 2009 to 2018. Read More

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November 2018
5 Reads

A Randomised Clinical Trial of Buffered Tumescent Local Anaesthesia During Endothermal Ablation for Superficial Venous Incompetence.

Eur J Vasc Endovasc Surg 2018 Nov 29;56(5):699-708. Epub 2018 Jun 29.

Academic Vascular Surgery, Hull-York Medical School, Hull Royal Infirmary, Hull, UK.

Objective/background: Endovenous thermal ablation (EVTA) is the recommended first line intervention for superficial venous incompetence (SVI). While the infiltration of perivenous tumescent local anaesthesia (TLA) is key to procedural success, it is paradoxically the predominant source of patient reported discomfort. This randomised controlled trial investigates the potential to reduce peri-procedural pain and improve patient reported outcome measures (PROMs), including quality of life (QoL) using TLA buffered to physiological pH. Read More

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November 2018
3 Reads

Effect of Decantation Time on Viability and Apoptosis in Adipocytes After Liposuction.

Aesthetic Plast Surg 2018 Oct 25. Epub 2018 Oct 25.

Department of Plastic Surgery, Universidad Autonoma de Nuevo Leon, Madero Ave. And Gonzalitos Ave. Mitras Centro, Monterrey, N.L., Mexico.

Background: The effect of decantation time on viability and apoptosis in adipocytes has not been described. The objective of the study was to describe viability and apoptosis in adipocytes up to 2 h after harvesting.

Methods: Twenty patients who underwent esthetic liposuction from the abdomen were included. Read More

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October 2018
1 Read

Prognostic impact of tumescent local anaesthesia on survival and recurrence of melanoma following lymphadenectomy.

Eur J Dermatol 2018 Oct 23. Epub 2018 Oct 23.

Clinical Research Division, National Cancer Institute of Brazil (INCA), Rio de Janeiro, Brazil.

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October 2018
1 Read

Acute edema induced by toluidine blue extravasation-first report.

Wien Med Wochenschr 2018 Oct 22. Epub 2018 Oct 22.

Center of Physical and Rehabilitative Medicine, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.

Methemoglobinemia is characterized by an increased level of methemoglobin (MetHb) in the peripheral blood. MetHb levels increase after tumescent anesthesia and need to be monitored. If a patient becomes symptomatic and/or the MetHb levels increase >10%, intravenous injection of an antidote is recommended. Read More

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October 2018
3 Reads

Novel Forehead Augmentation Strategy: Forehead Depression Categorization and Calcium-Hydroxyapatite Filler Delivery after Tumescent Injection.

Authors:
Jongseo Kim

Plast Reconstr Surg Glob Open 2018 Sep 6;6(9):e1858. Epub 2018 Sep 6.

Kim-Jongseo Plastic Surgery Clinic, Seoul, Korea.

Background: The minimally invasive delivery of soft-tissue calcium hydroxyapatite fillers can ameliorate the appearance of forehead depressions and wrinkles. Forehead augmentations using fillers lead to fewer adverse events and to a faster recovery time than those using surgical procedures. However, many physicians avoid using them due to the risk of pain, intravascular injections, and embolisms that can cause skin necrosis and blindness. Read More

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September 2018
4 Reads

Intralesional Neodymium YAG laser to Treat Complications of Polymethylmethacrylate.

Open Access Maced J Med Sci 2018 Sep 23;6(9):1636-1641. Epub 2018 Sep 23.

Städtisches Klinikum Dresden, Academic Teaching Hospital Dresden, Department of Dermatology and Allergology, Dresden, Germany.

Background: Dermal fillers are widely used for facial and body contouring. Polymethylmethacrylate (PMMA) is a permanent biphasic filler for soft tissue augmentation. In case of unwanted side effects, drug therapy and surgical excision have been commonly used with mixed results. Read More

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September 2018
3 Reads

Meta-analysis of nontumescent-based versus tumescent-based endovenous therapies for patients with great saphenous insufficiency and varicose veins.

J Vasc Surg Venous Lymphat Disord 2018 Nov;6(6):779-787.e6

Division of Vascular Surgery, Western University, London, Ontario, Canada.

Objective: The objective of this study was to compare the nontumescent-based endovenous therapies with the standard tumescent-based endovenous therapies in regard to clinical effectiveness and procedural outcomes in patients with saphenofemoral incompetence and varicose veins.

Methods: The following databases were searched for studies that were randomized or quasi-randomized trials comparing nontumescent-based endovenous procedures with those requiring tumescence: Cochrane Central Register of Controlled Trials (1950-January 2017), MEDLINE (1946-January 2017), and Embase (1950-January 2017). There were no restrictions based on language or publication status. Read More

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November 2018
8 Reads

Fluid management in extensive liposuction: A retrospective review of 83 consecutive patients.

Medicine (Baltimore) 2018 Oct;97(41):e12655

Department of Plastic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu.

Tumescent anesthesia makes it feasible to perform liposuction in an office setting. There are often patients who desire extensive liposuction on approximately 30% of total body surface area, which means the potential of fluid overload. In this study, the charts of 83 patients undergoing extensive liposuction were retrospectively reviewed. Read More

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October 2018
5 Reads

Trends in medical disputes involving anesthesia in the period July 2009-June 2018: an analysis of the Korean Society of Anesthesiologists database.

Korean J Anesthesiol 2018 10 10. Epub 2018 Oct 10.

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: To identify trends in injuries and substandard care associated with anesthesia, we analyzed the Korean Society of Anesthesiologists database, which includes anesthesia-related case files from July 2009 to June 2018.

Methods: Case characteristics, injuries, and outcomes were compared between the first part (July 2009-June 2014, n = 105) and the second part (July 2014-June 2018, n = 92) of the analyzed time period.

Results: Overall, 132 cases resulted in death. Read More

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October 2018
7 Reads

, a new genus and species of cleonine weevil from western Texas and eastern New Mexico (Coleoptera, Curculionidae, Lixinae, Cleonini).

Zookeys 2018 13(785):1-10. Epub 2018 Sep 13.

Beaty Centre for Species Discovery, Canadian Museum of Nature, PO Box 3443, Station D, Ottawa, ON. K1P 6P4, Canada Canadian Museum of Nature Ottawa Canada.

The new genus Anderson (type species, , type locality: McKenzie Lake, Gaines County, Texas) is described to accommodate a new species of cleonine weevil from western Texas and eastern New Mexico. Habitus images and images of taxonomically significant structures are presented. appears to be unique within Cleonini in the distinctly tumescent and asperate base of elytral interval 3, and widely separated procoxae, two characters apparently not shared with any other world Cleonini. Read More

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September 2018
9 Reads

Course of transforming growth factor ß1 in the systemic and cavernous blood of healthy males through different penile conditions.

Andrologia 2018 Sep 24:e13150. Epub 2018 Sep 24.

Department of Urology, School of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia.

Studies on erectile dysfunction (ED) have revealed a relationship between smooth muscle atrophy and the accumulation of collagen in the corpus cavernosum (CC). Transforming growth factor ß1 (TGF ß1) is a cytokine which has been proposed to be involved in the fibrotic process in the CC. We aimed to evaluate the course of TGF ß1 in the systemic and cavernous blood of 17 healthy males through different phases of the sexual arousal response (exemplified by the penile conditions flaccidity, tumescence, rigidity and detumescence). Read More

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September 2018
5 Reads

A practical approach to tumescent local anaesthesia in ambulatory endovenous thermal ablation.

Authors:
Isaac K Nyamekye

Phlebology 2018 Sep 18:268355518800191. Epub 2018 Sep 18.

The Vascular Unit, Worcestershire Royal Hospital, Worcester, UK.

Background Thermal ablation, usually performed with tumescent local anaesthesia (TLA), is the preferred method for varicose veins treatment. Tumescent local anaesthesia is always cited; however, little detail of the procedure is presented in publications. This retrospective audit of clinical tumescent local anaesthesia practice aims to provide detailed information on an important aspect of endovenous practice. Read More

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September 2018
14 Reads

One-Stage Combined Postbariatric Surgery: A Series of 248 Procedures in 55 Cases.

Aesthetic Plast Surg 2018 Dec 17;42(6):1591-1599. Epub 2018 Sep 17.

A-Plast Estetik, Akasya AVM, A1 Kule, D:117Acıbadem, Istanbul, Turkey.

Introduction: Combined and/or multistage operations often are needed in postbariatric surgery.

Aim: With this retrospective study of a series of 55 cases, we aim to determine the effectiveness and safety of one-stage combined postbariatric surgery.

Materials And Methods: A total of 248 postbariatric procedures were performed in one session (except one-staged gynecomastia case) in 55 patients. Read More

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December 2018
3 Reads

Autologous fat grafting for enhancement of breast reconstruction with a transverse myocutaneous gracilis flap: A cohort study.

J Plast Reconstr Aesthet Surg 2018 Nov 3;71(11):1557-1562. Epub 2018 Aug 3.

Department of Hand-, Breast-, and Reconstructive Microsurgery, Marienhospital Stuttgart, Böheimstraβe 37, 70199 Stuttgart, Stuttgart, Germany.

Background: The transverse myocutaneous gracilis (TMG) flap is a viable option for the reconstruction of small- to moderate-sized breasts. The purpose of this series was to examine the outcomes of fat grafting to breast and donor site secondary to breast reconstruction with a TMG flap.

Methods: A cohort study was conducted to identify all patients who underwent autologous fat grafting after breast reconstruction with a TMG flap at two institutions between January 2009 and October 2013. Read More

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November 2018

Does the use of N-butyl-2 cyanoacrylate in the treatment of lower extremity superficial varicose veins cause acute systemic inflammation and allergic reactions?

Cardiovasc J Afr 2018 Jul/Aug;29(4):213-217

Department of Cardiovascular Surgery, Cumhuriyet University School of Medicine, Sivas, Turkey.

Introduction: In this study we used N-butyl-2 cyanoacrylate (NBCA), including dimethyl sulfoxide (DMSO), via the endovenous route, for mechanochemical ablation in the treatment of superficial venous insufficiency, in an attempt to establish whether an early systemic inflammatory response and an allergic reaction occurred in the patients.

Methods: A total of 102 patients were treated with endovenous medical ablation in two centres between October 2015 and February 2016. This study was a two-centre, retrospective, non-randomised investigational study. Read More

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November 2016
4 Reads

Cyanoacrylate Embolization: A Novelty in the Field of Varicose Veins Surgery.

Ann Vasc Surg 2018 Aug 10. Epub 2018 Aug 10.

Vascular surgery Clinic, "Dedinje" Cardiovascular Institute, Belgrade, Serbia.

In the past 2 decades, varicose veins surgery went through a great turbulence and various innovations. A number of new techniques have been introduced with a goal to increase the success rate, reduce the periprocedural complications and, overall, to improve patients' quality of life. The latest of them, named cyanoacrylate embolization (CAE) technique, threatens to shake the glory of the currently well-established endovenous methods. Read More

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August 2018
23 Reads

Staged ultrasound-guided liposuction for hidden arteriovenous fistulas in obese patients.

Vasa 2018 Aug 19;47(5):403-407. Epub 2018 Jul 19.

3 Department of Vascular Surgery, Königin Elisabeth Herzberge Hospital, Berlin, Germany.

Background: In obese patients with end stage renal disease, puncturing matured arteriovenous fistulas (AVF) that run deep under the skin surface may prove difficult. To achieve reliable puncturability, there are several surgical solutions. Superficialization with mobilization is common. Read More

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August 2018
11 Reads

Sub-muscular Breast Augmentation Using Tumescent Local Anesthesia.

Aesthetic Plast Surg 2018 Jul 11. Epub 2018 Jul 11.

Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Via Monte Grappa 70, 07100, Sassari, Italy.

Background: Tumescent local anesthesia (TLA) consists of infiltration of saline solution with lidocaine and epinephrine into the tissues to obtain regional anesthesia and vasoconstriction. The use of TLA in augmentation mammoplasty has been described for sub-glandular positioning. We describe a modified TLA technique for primary sub-muscular breast augmentation reporting our experience during the past 7 years. Read More

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July 2018
15 Reads

Lipoedema is not lymphoedema: A review of current literature.

Int Wound J 2018 Dec 29;15(6):921-928. Epub 2018 Jun 29.

Division of Dermatology, Department of Medicine, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.

Lipoedema is a rare painful disorder of the adipose tissue. It essentially affects females and is often misdiagnosed as lymphoedema or obesity. It is globally misdiagnosed or underdiagnosed, and the literature is lacking appropriate guidance to assist clinicians towards this diagnosis. Read More

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December 2018
25 Reads

Gluteal Augmentation With Fat: Retrospective Safety Study and Literature Review.

Aesthet Surg J 2018 Jun 20. Epub 2018 Jun 20.

Private Practice in Oslo, Norway.

Background: Use of gluteal augmentation with fat increased by 3267% from 2002 to 2015, and the rate of death is highest compared with other aesthetic procedures: 1 in 3448 patients dies, compared with 1 in 55,000.

Objectives: To retrospectively investigate patients who underwent this procedure at Oslo Plastic Surgery Clinic, to review international data determine factors causing mortality, and to provide guidelines for safety.

Methods: Patient data were searched for reason for the procedure, assessment of patients, techniques performed, and safety measures used. Read More

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June 2018
4 Reads

Autologous emulsified fat injection for rejuvenation of scars: A prospective observational study.

Indian J Plast Surg 2018 Jan-Apr;51(1):77-83

Department of Plastic Surgery, Government Medical College, Kottayam, Kerala, India.

Background: The skin rejuvenation potential of the autologous emulsified nanofat was studied by Tonnard . in 2013. This property is due to the viable adipose-derived stem cells present in the nanofat; although, there are no viable adipocytes. Read More

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June 2018
8 Reads

Twenty-four month results from a randomized trial of cyanoacrylate closure versus radiofrequency ablation for the treatment of incompetent great saphenous veins.

J Vasc Surg Venous Lymphat Disord 2018 Sep 15;6(5):606-613. Epub 2018 Jun 15.

Inovia Vein Specialty Center, Bend, Ore.

Objective: We previously reported 3-month and 12-month occlusion rates after treatment of clinically symptomatic saphenous vein reflux with either cyanoacrylate closure (CAC) using the VenaSeal Closure System (Medtronic, Dublin, Ireland) or radiofrequency ablation (RFA) in a randomized, multicenter, clinical trial, VenaSeal Sapheon Closure System vs Radiofrequency Ablation for Incompetent Great Saphenous Veins (VeClose). Herein we report the 24-month follow-up results of the VeClose trial.

Methods: There were 222 patients with symptomatic great saphenous vein (GSV) incompetence who were randomly assigned to receive either CAC (n = 108) or RFA (n = 114). Read More

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September 2018
27 Reads

Population pharmacokinetic model for tumescent lidocaine in women undergoing breast cancer surgery.

Eur J Clin Pharmacol 2018 Jun 16. Epub 2018 Jun 16.

Service de Pharmacologie Clinique et Pharmacovigilance, Hôpital de la Timone, AP-HM, 13385, Marseille, France.

Purpose: Tumescent lidocaine anesthesia (TLA) is an opportunity to perform mastectomy for breast cancer without general anesthesia in elderly women. Few reports are available on the pharmacokinetics of lidocaine in a context of TLA during a unilateral mastectomy. The aim of this study was to describe lidocaine pharmacokinetics in elderly women undergoing breast cancer surgery after TLA and to explore the risk of the toxicity of this technique. Read More

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June 2018
9 Reads

Short-Term Efficacy of Inguinal Reoperation for Recurrent Saphenofemoral Incompetence using the Stump Suture Technique.

Ann Vasc Surg 2018 Nov 8;53:197-204. Epub 2018 Jun 8.

Eifelklinik St. Brigida, Vein and Skin Centre, Simmerath, Germany.

Objectives: Neovascularization from the saphenofemoral junction (SFJ) is regarded to be an important cause of clinical recurrence. The ideal treatment of SFJ recurrence is still a matter of debate. Barrier strategies have been implemented to improve surgical outcome by reducing neovascularization. Read More

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November 2018
1 Read

Tumescent local anaesthesia for breast cancer surgery in elderly women: about 6 cases.

Anaesth Crit Care Pain Med 2018 Jun 1. Epub 2018 Jun 1.

Department of anaesthesia and intensive care, Aix Marseille University, Hôpital Nord, Assistance Publique des Hôpitaux de Marseille, APHM, 13015 Marseille, France.

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June 2018
1 Read

Is β-endorphin significant in the control of the male sexual response?

Andrologia 2018 May 20:e13049. Epub 2018 May 20.

Department of Urology & Urological Oncology, Hannover Medical School, Hannover, Germany.

It has been assumed that β-endorphin, belonging to the family of opiodergic neuropeptides, might facilitate the inhibition of the male sexual response; however, its role in the control of the penile erectile tissue remains to be elucidated. This study aimed to evaluate in healthy men the course of β-endorphin in the systemic and cavernous blood through different stages of sexual arousal. Thirty-four (34) men were exposed to erotic stimuli to induce penile tumescence and rigidity. Read More

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May 2018
2 Reads

[Saint Petersburg Venous Forum 'Christmas Meetings' - 10th anniversary].

Angiol Sosud Khir 2018;24(1):126-132

Institute of Experimental Medicine, Saint Petersburg, Russia.

The article is a review of the reports delivered at the annual Saint Petersburg Venous Forum 'Christmas Meetings'. In 2017 it was held for the 10th time. Widely covered at the Forum were problems concerning non-tumescent methods of treatment of varicose veins, methods of diagnosis and treatment of deep-vein diseases, problems of pathogenesis of post-thrombotic disease, terminology in problems of phlebology. Read More

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Removal of Benign Superficial Masses Using the TriVex System: Preliminary Clinical Results.

Surg Innov 2018 Jun 19;25(3):230-235. Epub 2018 Apr 19.

1 Third People's Hospital of Jinan, Jinan, People's Republic of China.

Background And Objective: Transilluminated powered phlebectomy using the TriVex system is a new procedure for minimally invasive varicose vein surgery. We used the TriVex system for the removal of benign superficial subcutaneous soft tissue masses, and we also achieved satisfactory clinical effects. The objective of this study was to explore the feasibility, benefits, and technique-related complications of using the TriVex system for the removal of benign superficial masses as a novel and minimally invasive surgical technique. Read More

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June 2018
1 Read

Plating of an isolated fracture of shaft of ulna under local anaesthesia and periosteal nerve block.

Trauma Case Rep 2017 Dec 31;12:40-44. Epub 2017 Oct 31.

Orthopaedic Department, International Medical University, Clinical Campus, Seremban, 70300, Malaysia.

Isolated fractures of shaft of ulna are common. Plate fixation with anatomic reduction is thought to produce the best functional results in closed or open fractures. Surgery can be done under general and various types of regional anaesthesia. Read More

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December 2017
1 Read

Effectiveness and Complications of Improved Liposuction-Curettage Through Mini-Incisions for the Treatment of Axillary Osmidrosis.

Plast Surg (Oakv) 2017 Nov 20;25(4):234-241. Epub 2017 Sep 20.

Department of Plastic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People's Republic of China.

Background: Liposuction-curettage (LC) is a popular and effective surgical method for the treatment of axillary bromhidrosis (AB). However, residual malodour and skin necrosis often appear after this type of surgery. We investigated the efficacy and complications of 4 methods of LC. Read More

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November 2017
5 Reads

Breast cancer with dermatomyositis as initial presentation.

Med J Malaysia 2018 Feb;73(1):44-45

Penang General Hospital, Department of General Surgery, Penang, Malaysia.

Patients with breast cancer normally present with breast lump or abnormal mammogram. Dermatomyositis is rarely the first presentation. We present a case of a 63-year-old woman who had generalised dermatitis, progressive fatigue and muscle weakness. Read More

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February 2018

Mid-Term Report on the Safety and Effectiveness of Endovenous Radiofrequency Ablation for Varicose Veins.

Ann Vasc Dis 2017 Dec;10(4):398-401

Department of Cardiovascular Surgery, Soka Municipal Hospital, Soka, Saitama, Japan.

: Endovenous radiofrequency ablation (RFA), a relatively new technique for treating great saphenous varicose veins, is less invasive compared with stripping surgery. This study examined the mid-term safety and effectiveness of RFA for varicose veins. : We enrolled 104 patients (147 limbs) who underwent RFA for varicose veins of the lower extremities (females, 67; 64. Read More

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December 2017
6 Reads

Phlebectomy Techniques for Varicose Veins.

Surg Clin North Am 2018 Apr;98(2):401-414

Department of Surgery, Division of Vascular and Endovascular Surgery, Duke University Medical Center, Box: DUMC 3538, Durham, NC 27710, USA.

Ambulatory phlebectomy is a well-known and widely used procedure for residual symptomatic venous disease. Tumescent anesthesia complements the procedure, providing the ability to perform this intervention in a wide range of practice settings. The procedures are well tolerated by most patients, and complications are rare. Read More

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April 2018
1 Read

Fatal Complications of Aesthetic Techniques: The Gluteal Region.

J Forensic Sci 2018 Sep 21;63(5):1406-1412. Epub 2018 Feb 21.

Miami-Dade County Medical Examiner, 1851 N.W. 10th Avenue, Miami, FL, 33136.

Cosmetic procedures are common and utilize many techniques to obtain aesthetically good outcomes for patient satisfaction with acceptable safety standards. Cosmetic procedures that involve the gluteal region are becoming increasingly popular as various procedures can target the gluteal region such as liposuction, tumescent liposuction, cosmetic filler injections, autologous fat transfer, depot drug delivery, and implants. Complications of cosmetic gluteal procedures can be localized or systemic with systemic complications being responsible for most deaths. Read More

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September 2018
10 Reads

Tumescent contravenom: murine model for prehospital treatment of Naja naja neurotoxic snake envenomation.

Int J Dermatol 2018 May 20;57(5):605-610. Epub 2018 Feb 20.

Department of Dermatology, University of California, Irvine, Irvine, CA, USA.

Background: Snake envenomation is a neglected global health problem. There is a need for a prehospital treatment of neurotoxic snakebite that prolongs survival and allows time for a victim to reach a hospital for antivenom therapy. Tumescent epinephrine consists of a large volume of dilute epinephrine (2 mg/l) injected subcutaneously. Read More

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May 2018
5 Reads

Outcomes of post burn flexion contracture release under tourniquet versus tumescent technique in children.

Burns 2018 May 15;44(3):678-682. Epub 2018 Feb 15.

Department of Plastic surgery, King Edward Medical University, Mayo Hospital, 94-J DHA Phase 1, Lahore, Pakistan. Electronic address:

Objective: To compare the clinical outcomes of release of flexion contractures after burn of the hand in children using tourniquet or tumescent technique in terms of operative time, postoperative pain score, and percentage of graft take.

Methods: Patients aged 3 to 12 years who required release of post-burn flexion contractures involving volar aspect of palm and fingers were enrolled from outpatient clinic. Patients were randomized in 1:1 ratio to the use of either tumescent technique or tourniquet during contracture release. Read More

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May 2018
3 Reads

Experience of Immediate Ambulation and Early Discharge After Tumescent Anesthesia and Propofol Infusion in Cosmetic Breast Augmentation.

Aesthetic Plast Surg 2018 Oct 7;42(5):1410-1411. Epub 2018 Feb 7.

Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Viale Giacomo Matteotti 42, 50132, Florence, Italy.

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October 2018
6 Reads

Life Threatening Complications Post-Liposuction.

Aesthetic Plast Surg 2018 Apr 31;42(2):384-387. Epub 2018 Jan 31.

Department of General Surgery, Liver Transplantation and Hepatopancreaticobiliary Unit, American University of Beirut Medical center, Beirut, Lebanon.

Background: Liposuction is one of the most commonly performed aesthetic procedures. It is performed worldwide as an outpatient procedure. However, the complications are underestimated and underreported by caregivers. Read More

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April 2018
13 Reads

Evidence-Based Practice in Liposuction.

Ann Plast Surg 2018 Jun;80(6S Suppl 6):S403-S405

Chief of Plastic and Reconstructive Surgery, Virginia Tech-Carilion School of Medicine, Carilion Clinic, Roanoke, VA.

Background: The goal of this study is to examine the existing peer reviewed literature comparing modern adjunctive techniques in liposuction including laser-assisted liposuction (LAL) and ultrasound-assisted liposuction (UAL) to standard suction-assisted liposuction (SAL). We intend to interpret these findings into a literature-based clinical application to influence practice patterns.

Methods: A literature review was conducted using a keyword search in PubMed. Read More

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June 2018
1 Read

Patient-perceived outcomes of different anaesthetic techniques in classical surgical treatment of varicose veins of lower limbs.

Ann Ital Chir 2017 ;88:534-538

Aim Of The Study: To evaluate the effects of spinal or locoregional anaesthesia versus local tumescent anesthesia during traditional surgical treatment of saphenous reflux, in terms of pain and postoperative functional recovery.

Materials And Methods: From January to December 2014, 195 consecutive interventions of stripping of the greater saphenous vein for valvular incompetence were performed. In 114 cases spinal or locoregional anaesthesia was performed (group 1), in the remaining 81 cases local anaesthesia with the tumescence technique was carried out (group 2). Read More

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August 2018
33 Reads

Radiofrequency Thermal Ablation Heat Energy Transfer in an Model.

Am Surg 2017 Dec;83(12):1373-1380

Little work has been done to consider the temperature changes and energy transfer that occur in the tissue outside the vein with ultrasound-guided vein ablation therapy. In this experiment, a Ex-Vivo model of the human calf was used to analyze heat transfer and energy degradation in tissue surrounding the vein during endovascular radiofrequency ablation (RFA). A clinical vein ablation protocol was used to determine the tissue temperature distribution in 10 per cent agar gel. Read More

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December 2017
4 Reads

[Liposuction].

Authors:
D Schlarb

Hautarzt 2018 Feb;69(2):165-176

Hautklinik, Universitätsklinikum Münster, Von Esmarchstr. 58, 48149, Münster, Deutschland.

Liposuction began in the 1920s when the Parisian surgeon Charles Dujarier became interested in body shaping and fat removal. Today, it is estimated that 1,453,000 liposuctions are annually performed worldwide. In Germany, 45,000 liposuctions are performed annually. Read More

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February 2018
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Split-thickness skin grafting for reconstruction of auricular skin defects: a statistical analysis.

J Dtsch Dermatol Ges 2018 Feb 12;16(2):163-173. Epub 2018 Jan 12.

Department of Dermatology, Venereology and Allergology. Academic Teaching Department of Medical University Innsbruck, Central Teaching Hospital Bolzano/Bozen, Bolzano/Bozen, Italy.

Background And Objectives: Surgical reconstruction following the removal of large malignant auricular lesions is challenging. While many options for defect closure have been described, in the elderly population usually affected flap surgery, long anesthesia times, patient compliance, and anticoagulant therapy pose additional risks. An alternative quick, simple, and effective method of defect closure is therefore highly desirable. Read More

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February 2018
9 Reads
1.820 Impact Factor

Endovascular laser treatment of incompetent saphenous veins using the 1470 nm diode laser and radial fiber.

Ann Med Surg (Lond) 2018 Jan 7;25:12-16. Epub 2017 Dec 7.

Department of Public Health - Attica Providence, Athens, Greece.

Objectives: To assess the technical success, complications, and patients' quality of life (QoL) after treatment of chronic venous disease (CVD) using the 1470 nm radial fiber laser.

Methods: A total of 170 patients with chronic venous disease, classified as C2 to C4 according to CEAP classification, were treated for incompetent greater (GSV) and small (SSV) saphenous veins, using the 1470 nm radial fiber laser and application of tumescent anesthesia. Additional phlebectomies were performed through stab microincisions, while 11 patients further underwent sclerotherapy intraoperatively. Read More

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January 2018
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