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Wide-awake local anesthesia no tourniquet (WALANT) was proposed and performed in hand operations.
Aim of this study is to present the use of WALANT in operations performed on the upper and lower limbs, evaluate its efficacy in terms of feasibility, total operation time, total operating room time, bleeding, patient discomfort and satisfaction and control for potential drawbacks. The hypothesis is that WALANT is a viable option in common operations performed by plastic surgeons on the upper and lower limbs.
Wide-awake local anesthesia no tourniquet (WALANT) was proposed and performed in hand operations. Little has been studied, regarding its indications and efficacy in general plastic surgery operations.
Aim of this study is to present the use of WALANT in operations performed on the upper and lower limbs, evaluate its efficacy in terms of feasibility, total operation time, total operating room time, bleeding, patient discomfort and satisfaction and control for potential drawbacks. The hypothesis is that WALANT is a viable option in common operations performed by plastic surgeons on the upper and lower limbs.
A prospective study will be conducted comparing the use of WALANT in operations performed on the upper and lower limbs to the traditional use of tourniquet with general or regional anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WALANT group | WALANT was used exclusively as anesthesia method for the operation |
| |
| control | tourniquet with regional or general anesthesia was used for the operation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WALANT | Procedure | WALANT as anesthesia method for upper and lower limb palstic surgery operations |
|
| Measure | Description | Time Frame |
|---|---|---|
| total operation time | the difference between skin incision and skin closure in minutes | through operation completion |
| operation theatre time | the difference between entry and exit of the patient from the operation theatre in minutes | through operation completion with exit from the operation theatre |
| Patient satisfaction | estimated by a 10-point visual analogue scale (1-10, 10 is the best outcome) | at 8 weeks |
| feasibility of the WALANT method | percentage of cases, which could not be completed under WALANT with conversion to the traditional method of anesthesia | through operation completion |
| Measure | Description | Time Frame |
|---|---|---|
| complications | number and type of complications in each group | at 8 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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patients who undergo general plastic surgery operations in the upper or lower limb
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Plastic Surgery Department | Ioannina | Greece |
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