Excision Of Large Lipomas Using Tumescent Anesthesia – A Case series of seven patients in a tertiary center

Authors: Naveena pandiyan, Nivetha Chandramouleswaran, Shanu shanmugasundaram, Brindha Rathnasabapathy

DOI: 10.18231/j.ijca.10607.1760416186

Keywords: Giant lipoma, Tumescent anesthesia

Abstract: Lipomas are the most common benign soft tissue tumors. Giant lipomas are generally excised under general anesthesia because more local anesthesia than is safe to inject may be required for complete excision. Tumescent anesthesia is the evolving local anesthesia technique used in procedures like liposuction, hair grafting, face lift, breast surgery, and skin resurfacing, now recently used in the excision of large lipomas. It involves infiltrating a large volume of a tumescent solution around the tumor. The solution is prepared by mixing Ringer Lactate (200 ml), Inj. Adrenaline (1 mg), Inj. Sodium Bicarbonate (5 ml), Inj. Lignocaine 0.2% (20 ml), Inj. Ropivacaine 0.75% (20 ml), and Inj. Hyaluronidase (1500 IU). We describe seven cases of large lipomas excised in minor operation theater without adverse complications.