title: [Ambulatory saphenectomy: 80 operated cases using tumescent anesthesia].
abstract: The authors describe their experience with local tumescent anaesthesia with lidocaine and bupivacaine in 80 cases of saphenous stripping. The method is discussed thoroughly and provides: 1) good anaesthesia throughout surgery, requiring only brief propofol sedation in 55 patients with large-volume legs; 2) less bleeding during and after surgery in all patients, with visual evaluation of ecchymoses at 3 and 7 days; 3) good postsurgical analgesia without functional impairment in all patients. These are real advantages in the ambulatory and day-hospital surgery settings, inasmuch as the scheduled discharge time is not modified. Local tumescent anaesthesia proves to be a simple, easy technique, with good patient compliance; it is appreciated by the surgeon on account of its technical advantages and is helpful in the organization of modern surgical departments.
authors.affiliation: Divisione di Chirurgia, Presidio Ospedaliero di Montichiari (BS) Azienda Ospedaliera, Spedali Civili, Brescia.
authors.forename: Domenico
authors.initials: D
authors.lastname: Balducci
authors.forename: Orazio
authors.initials: O
authors.lastname: Morandi
authors.forename: Sergio
authors.initials: S
authors.lastname: Mazzetti
authors.forename: Mariapaola
authors.initials: M
authors.lastname: Tonni
authors.forename: Aureliano
authors.initials: A
authors.lastname: Becchetti
authors.forename: Roberto
authors.initials: R
authors.lastname: Pancaldi
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000700:Analgesics / Q000627:therapeutic use; D000772:Anesthesia, Local; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use*; D002045:Bupivacaine / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000628:therapy; D010349:Patient Compliance; D012501:Saphenous Vein / Q000601:surgery*; D014648:Varicose Veins / Q000601:surgery*
chemical_list: D000700:Analgesics; D000779:Anesthetics, Local; D008012:Lidocaine; D002045:Bupivacaine
vernacular_title: Safenectomia ambulatoriale: 80 casi operati in anestesia tumescente.