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Local Anesthesia for Lymphaticovenular Anastomosis

Chan, Vana S.H. (Edin), FHKAM, FCSHK, FRCS; Narushima, Mitsunaga MD; Hara, Hisako MD; Yamamoto, Takumi MD; Mihara, Makoto MD; Iida, Takuya MD; Koshima, Isao MD

doi: 10.1097/SAP.0b013e31825b3d1e
Microsurgery

Abstract: Lymphaticovenular anastomosis is well documented for its effectiveness in treating lower limb lymphedema. However, local anesthesia (LA) is not the usual choice of anesthesia. In this study, 14 patients having such operation done under LA were recruited to see how well they tolerated the operations. Visual analogue scale was used to grade both intraoperative and postoperative pain. It was shown that the mean intraoperative pain score was never greater than 1, in the scale from 0 to 10. The mean postoperative pain score was 1.6 on the first postoperative day and then dropped gradually. No complication of surgery was reported. In-depth preoperative counseling and complementary intraoperative measures were emphasized to make LA a possible choice of anesthesia.

From the Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.

Received September 13, 2011, and accepted for publication, after revision, April 16, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Vana S.H. Chan, FRCS(Edin), FHKAM, FCSHK, Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. E-mail: vanacsh@netvigator.com.

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