Plastic and Reconstructive Surgery Podium Presentation: An Innovative Approach To Mini Abdominoplasty Procedures Using Exclusively Local Anesthesia
Introduction/Purpose: Mini abdominoplasties with liposuction have long been performed in hospitals under general anesthesia. In our study we aim to evaluate the patient’s peri-operative experience of performing this procedure using only tumescent anesthesia.
Methods or Case Description: Fifty mini abdominoplasties with liposuction, using tumescent anesthesia, were performed between 2017-2019 in an ambulatory setting. The tumescent fluid infused was comprised of 50 mL of 2% plain lidocaine, 1mL of 1:1000 epinephrine, 10 mL of 8.4% sodium bicarbonate, and 1000 mL of 0.9% normal saline. Liposuction and tissue excision were completed with the patient conscious. Patients were seen in the office for post-operative visits 1, 2, 4, and 12 weeks after surgery. A survey was completed by patients to gather subjective data.
Outcomes: All participants were female with a mean age of 53 years old. All procedures were safely completed without any intra-operative complications. The mean amount of fluid aspirated with liposuction was 2462 mL. The average dimensions of excised tissue were 50.6 cm in length and 11.6 cm in height. Based on a 1-10 scale, with 10 being the worst pain, intra- and post-operative pain was rated on average as 1.9 and 3.9 respectively. Mean patient satisfaction was 4.3, based on a scale from 1 – 5, with 5 being excellent satisfaction. Twenty-eight patients rated their satisfaction as excellent. There were no major or minor complications. Nine patients had some form of revision performed, of which five were scar revisions.
Conclusion: The study results demonstrate that this procedure can be safely performed with tumescent anesthesia, with minimal pain for the patient and without compromising the aesthetic outcome or complication rate.
Upon completion, participant will be able to describe the instruments used and general procedural instructions for a mini-abdominoplasty under exclusively local anesthesia.
Upon completion, participant will be able to list the components of the tumescent utilized for fully awake liposuction and mini-abdominoplasty, as well as understand its concentration limits.
Upon completion, participant will be able to appreciate that the procedure mentioned can be safely and effectively performed out-patient without the need for general anesthesia.