Relieving postoperative pain using tumescent solution with ropivacaine in follicular unit excision

Autor: Da‐mao Dai, Qian Qu, Zhe‐xiang Fan, Zhi‐qi Hu, Yong Miao
Rok vydání: 2022
Předmět:
Zdroj: Journal of cosmetic dermatologyREFERENCES. 21(10)
ISSN: 1473-2165
Popis: Local tumescent anesthesia relieves postoperative pain.The objective of the study was to compare the effect of injecting a tumescent solution with/without ropivacaine on postoperative pain.A randomized, double-blind control study was conducted in 314 patients who underwent first follicular unit excision after obtaining informed consent and ethics committee approval. The patients were randomly divided into three groups: intra-groups (group 1, injected with tumescent solution with ropivacaine; group 2, without ropivacaine) and inter-group (group 3, right-head/left-head side with/without ropivacaine). Postoperative pain was recorded using the 5-point Wong-Baker Faces Pain Scale. No preoperative analgesic was administered to any patient. The survival rate of hair follicles was measured using dermoscopy during follow-up. Data were statistically analyzed.Of the 314 patients included in the study, 166 were men and 148 were women with a mean age of 32.15 ± 4.58 (range, 25-45) years. Postoperative pain with ropivacaine was significantly more relieved compared with that without ropivacaine in both groups (p 0.05). There was no significant difference between sex and survival rate of hair follicles in the intra- or inter-group.A tumescent solution with ropivacaine has proven to relieve postoperative pain and is a safe and valuable form of local anesthesia in follicular unit excision.
Databáze: OpenAIRE
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