Comparison of the Effects of Tumescent Anesthesia Applied at Two Different Temperatures on Recovery After Liposuction Surgery

Year 2025, Volume: 35 Issue: 5, 1001 - 1010, 28.10.2025

Ergün Gündüz , Serhat Eviş

https://doi.org/10.54005/geneltip.1733735

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.

İki Farklı Sıcaklıkta Tumescent Liposuction Solüsyonunun Hasta İyileşmesi Üzerindeki Etkileri

Abstract

İki Farklı Sıcaklıkta Tumescent Liposuction Solüsyonunun Hasta İyileşmesi Üzerindeki Etkileri
Özet:
Liposuction, hipotermi, titreme, ağrı ve gecikmiş iyileşme gibi postoperatif komplikasyonlarla ilişkilendirilebilen yaygın bir kozmetik prosedürdür. Bu randomize klinik çalışma, tumescent solüsyon sıcaklığının hasta sonuçları üzerindeki etkilerini değerlendirmeyi amaçlamıştır. Liposuction geçiren 18-65 yaş arası toplam 35 ASA I–II kadın hasta iki gruba ayrılmıştır: Grup A (n=17) oda sıcaklığında (20–22°C) tumescent solüsyon alırken, Grup B (n=18) ısıtılmış (30–36°C) solüsyon almıştır. Standart genel anestezi uygulanmış ve her iki grup da vücut sıcaklığı, hemodinamik, ağrı, iyileşme ve yan etkiler postoperatif olarak izlenerek benzer prosedürlere tabi tutulmuştur.
Sonuçlar, intraoperatif ve erken postoperatif vücut sıcaklıklarının ısıtılmış solüsyon grubunda önemli ölçüde daha yüksek olduğunu göstermiştir (p<0,05). Ameliyat sonrası titreme (%22,2'ye karşı %82,4) ve öznel soğuk hissi (%16,7'ye karşı %70,6) Grup B'de önemli ölçüde daha düşüktü (p<0,05). Ek olarak, iyileşme evresindeki ağrı ve narkotik analjezik gereksinimi ısıtılmış grupta önemli ölçüde daha düşüktü (%11,1'e karşı %52,9, p<0,05). Ortalama arter basıncı, kalp hızı, oksijen satürasyonu, mide bulantısı, kusma veya ilk analjezik zamanlaması açısından gruplar arasında önemli bir fark bulunamadı.
Çalışma, tumescent solüsyonunun ısıtılmasının termal stabiliteyi iyileştirdiği, titremeden kaynaklanan rahatsızlığı azalttığı, ameliyat sonrası ağrıyı ve narkotik kullanımını azalttığı ve hasta memnuniyetini artırdığı sonucuna varmıştır. Bu bulgular, ameliyat sonrası iyileşmeyi ve hasta güvenliğini optimize etmek için liposuction'da ısıtılmış infiltrasyon solüsyonunun (30–36°C) rutin kullanımını desteklemektedir.

Keywords

Liposuction , tumescent anestezi , ısıtılmış solüsyon , postoperatif ağrı , hipotermi , hasta iyileşmesi.

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