Abstract :
Lipomas are the most common benign soft tissue tumors. Giant lipomas are generally excised under general anaesthesia because more local anaesthesia than is safe to inject may be required for complete excision. Tumescent anaesthesia is the evolving local anaesthesia 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.
Keyword :
Giant lipoma, Tumescent anaesthesia, Lignocaine toxicity.