RESUMO
Objective To explore the safety,composition and effectiveness of bupivacaine in swelling fluid and to understand the safe use of the swelling fluids contained bupivacaine as local anesthetics in liposuction.Methods The liposuction was completed in 149 patients,aged 18-63 years with the swelling fluid contained bupivacaine in different proportions by negative pressure liposuction for exploring the method and safe use of the swelling fluid contained bupivacaine in general anesthesia.Results The dose range of bupivacaine at 1.14-1.87 mg/kg did not show toxicity.Bupivacaine combined with lidocaine as a part of swelling fluid was suitable for all range of liposuction in general anesthesia.There was no pain sensation first day after the operation.The pain was obvious on the day after surgery in lidocaine group.The advantage using bupivacaine as swelling fluid was that the postoperative recovery was fast,the healing was good,and the complications were few.Conclusions Bupivacaine as the main anesthetic agent for swelling fluid shows the advantages of long analgesic effect,good anesthetic effect,and no pain after operation.It is worth further application.
RESUMO
Objective To explore the clinical significance of injecting the tumescent fluid into the separated space in breast augmentation by transaxillary incision under gerenal anesthesia. Methods In 203 cases of breast augmentations by transaxillary incision, some tumescent fluid was injected into the incision and submuscular or subgland space, and then separated under general anethesia. By comparison of the 210 cases without tumescent fluid, the advantages and the clinical significances of this approach were discussed. Results There were less bleeding, early allevation of pain after operation and decreased incidence of local congestion and swelling in patients with tumescent fluid. Conclusion The tumescent fluid could reduce bleeding, early pain after operation and local congestion and swelling in the breast augmentation under general anesthesia.