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A Journal on Phlebology

Official Journal of the Italian College of Phlebology
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Acta Phlebologica 2004 December;5(2-3):57-9

language: English

Varicose vein surgery performed in the tumescent local anesthesia (Klein’s liposuction formula)

Simka M. 1, Pu/ltorak M. 2

1 Department of Day Surgery, Pszczyna, Poland;
2 Department of Day Surgery, Tychy, Poland


Varicose vein are preferably operated on in local anesthesia, however patients often complain from perioperative pain. There can be also problems with toxicity of anesthetic. Tumescent liposuction is the esthetic surgical procedure performed also in local anesthesia, and in this kind of surgery regard to patient’s satisfaction is very important. Tumescent liposuction fluid developed by Klein has been described to be very well tolerated, and to be very safe (no toxic reactions even with dose of lidocaine up to 50 mg/body kg). There are described details of phlebectomy under the local tumescent anesthesia using Klein’s formula. The anesthetic fluid (0.1% lidocaine in physiological saline with: epinephrine, natrium bicarbonate, and triamcinolone) should be warmed (40 °C) before the injection. There are also discussed problems of toxicity of local anesthetics, and the advantage of Klein’s formula as far as safety of the patient is concerned. It was found that the Klein’s anesthesia was associated with less perioperative pain. There were also: less bleeding, smaller postoperative hematoms, and surgeons found the procedure to be easier to perform. In our opinion this kind of anesthesia should be preferred in varicose vein surgery, as it is well tolerated by patients, facilitates the procedure, and is safer than other kinds of local anesthesia.

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