Clinical parameters of tumescent anesthesia in skin cancer reconstructive surgery. A review of 86 patients

Reliability and cost‐effectiveness of sentinel lymph node excision under local anaesthesia versus general anaesthesia for malignant melanoma: a retrospective analysis in 300 patients with malignant melanoma AJCC Stages I and II

“…14 The extension of TLA as a special kind of local anaesthesia in dermatological surgical procedures has allowed for these to be safely performed in an ambulatory setting. 15, 16 We use a 0.1% TLA solution with the following composition: 450 mL physiological sodium chloride solution 0.9% (B. Braun Melsungen AG, Melsungen), 50 mL Lidocain 1% (2-Diethylamino-N-(2,6-dimethylphenyl) acetamid, Xylocain 1% AstraZeneca GmbH, Wedel) and 0.5 mg Epinephrin (Sanofi Aventis Deutschland GmbH, Frankfurt a. M.). The amount of 1% Lidocaine used in TLA was always less than the recommended safe dose of 35 mg ⁄ kg body weight.…”

Slow Infusion Tumescent Anesthesia

“…Many new indications for the tumescent technique have emerged in recent years 7,11 . Here SITA was effective for slow infusion into subcutaneous areas, as in paravenous infusion.…”

Standard excision and reconstruction as an alternative to MMS for giant basal cell carcinoma?

“…I suggest the literature of Acosta et al on tumescent anaesthesia in skin cancer reconstuctive surgery from 1997. 5 Although I can agree that in large tumours eventually slow Mohs can show some advantages because of the difficulty of freezing big tumour parts. This problem can be solved but would need more slides because the excised tumour has to be divided into smaller parts (Figs.…”