Epinephrine in the tumescent technique for hypospadia surgery
DOI:
https://doi.org/10.13181/mji.v21i3.495Keywords:
Epinephrine, hypospadia, tumescent techniqueAbstract
The use of tumescent technique, which contains epinephrine, in penile surgery has not been reported previously. Two patients with hypospadias had reconstructive operation using tumescent technique with a "One-per-Mil" tumescent solution containing epinephrine intra-operatively. The results was a clear operation field, almost bloodless during dissection, and no complication on the penis after epinephrine injection with minimal edema. Apparently, the "One-per-Mil" tumescent solution acts as a natural hydro-dissector creating avascular anatomic tissue planes for easier and more rapid dissection in surgery for hypospadias. We suggest that epinephrine is safe to be injected in penis as a future area of clinical practice. (Med J Indones. 2012;21:175-8)
Downloads
References
Giannantoni A. Hypospadias classification and repair: the riddle of the sphinx. Eur Urol. 2011;60:1190-2.
Mustoe TA, Lalonde DH. The safe management of anesthesia, sedation, and pain in plastic surgery. Plast Reconstr Surg. 2010;126(4):165e-76e.
Atabey AM, Galdino G, El-shahat A, Ramirez OM. Effects of tumescent solutions containing lidocaine and epinephrine on skin flap survival in rats. Ann Plast Surg. 2004;53(1):70-2.
Muck AE, Bebarta VS, Borys DJ, Morgan DL. Six years of epinephrine digital injections: absence of significant local or systemic effects. Ann Emerg Med. 2010;56(3):270-4.
Singer AJ. Accidental digital self-injection of epinephrine: debunking the myth. Ann Emerg Med. 2010;56(3):275-7.
Ghali S, Knox KR, Verbesey J, Scarpidis U, Izadi K, Ganchi PA. Effects of lidocaine and epinephrine on cutaneous blood flow. J Plast Reconstr Aesth Surg. 2008;61:1226-31.
Abbott AM, Miller BT, Tuttle TM. Outcomes after tumescence technique versus electrocautery mastectomy. Ann Surg Oncol. 2012;10:2304-8.
Klein J. Tumescent technique for liposuction surgery. Am J Cosmet Surg. 1987;4:263-7.9. Lapid O. Syringe-delivered tumescent anesthesia made easier. Aesth Plast Surg. 2011;35:601-2.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with Medical Journal of Indonesia agree to the following terms:
- Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.