Comparison of the Effects of Tumescent Anesthesia Applied at Two Different Temperatures on Recovery After Liposuction Surgery
Abstract
The Effects of Tumescent Liposuction Solution at Two Different Temperatures on Patient Recovery
Abstract:
Liposuction is a common cosmetic procedure that can be associated with postoperative complications such as hypothermia, shivering, pain, and delayed recovery. This randomized clinical study aimed to evaluate the effects of tumescent solution temperature on patient outcomes. A total of 35 ASA I–II female patients aged 18–65 undergoing liposuction were divided into two groups: Group A (n=17) received room-temperature (20–22°C) tumescent solution, while Group B (n=18) received warmed (30–36°C) solution. Standard general anesthesia was applied, and both groups underwent similar procedures with body temperature, hemodynamics, pain, recovery, and side effects monitored postoperatively.
Results showed that intraoperative and early postoperative body temperatures were significantly higher in the warmed solution group (p<0.05). Postoperative shivering (22.2% vs. 82.4%) and subjective cold sensation (16.7% vs. 70.6%) were significantly lower in Group B (p<0.05). Additionally, pain during the recovery phase and narcotic analgesic requirement were significantly lower in the warmed group (11.1% vs. 52.9%, p<0.05). No significant differences were found between the groups in terms of mean arterial pressure, heart rate, oxygen saturation, nausea, vomiting, or first analgesic timing.
The study concludes that warming the tumescent solution improves thermal stability, reduces discomfort from shivering, decreases postoperative pain and narcotic use, and enhances patient satisfaction. These findings support the routine use of warmed infiltration solution (30–36°C) in liposuction to optimize postoperative recovery and patient safety.
Keywords
Liposuction, tumescent anesthesia, warmed solution, postoperative pain, hypothermia, patient recovery.
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