Tumescence

Tumescent anesthesia is one of the most effective methods of pain relief for various surgical procedures. This anesthesia has become widespread in recent years due to its safety and effectiveness. In this article we will look at the basic principles and mechanisms of action of this anesthesia, as well as its advantages and limitations.

Tumescent analgesia is achieved by injecting a local anesthetic into the perineovaginal area. At the same time, the anesthetic is distributed in the tissues and causes a decrease in their sensitivity. This method of anesthesia is used in gynecology, breast surgery, and general surgery to numb small areas of soft tissue.

The principle of operation of tumescent anesthesia is based on the combination of a rapidly spreading hydrophilic agent, which is mixed with fat-soluble local anesthetics. For example, the hydrophilic agent can be created from water with the addition of ammonia derivatives such as lidocaine, bupivacin or propanidide. Fat-soluble local anesthetics include drugs such as intercaine and diethylamine compounds such as ropivacaine.

Thanks to the combination of these two components, tumescent anesthesia provides rapid and effective pain relief. Hemodilution, which occurs as a result of fluid administration, increases the area of ​​surface contact of the hydrophilic mixture with the mucous membranes and skin, which leads to greater effectiveness of pain relief.

The advantages of tumescent anesthesia include a rapid onset of action, an optimal balance between anesthesia and infiltration, no need for general anesthesia, high safety, the ability to perform multiple injections in one area and a wide range of applications.

However