Complications of minor skin surgery performed under local anesthesia

Avshalom Shalom, Melvyn Westreich, Eran Hadad, Tal Friedman

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Minor surgical procedures performed under local anesthesia are the most common surgical procedures routinely carried out in every plastic surgical practice. OBJECTIVE: The objective was to evaluate the prevalence of immediate local and systemic complications of such procedures. METHODS AND MATERIALS: Records of 2,600 procedures performed under local anesthesia on 2,431 patients between November 2001 and May 2004 were reviewed. Local anesthetic complications and all surgical-related complications were recorded. RESULTS: Procedure-related complications were 51 presyncope (1.9%), 4 true syncope (0.16%), 2 minor burns (0.08%), and 1 facial laceration (0.04%). CONCLUSIONS: True allergic reaction to lidocaine is extremely rare and none was noted in our study. Most patients who claimed that they had suffered from such a reaction were probably experiencing symptoms related to intravenous injection administration, a reaction to the added vasoconstrictor (adrenaline), or a vasovagal reaction, which is a common trait among young adults. The authors have indicated no significant interest with commercial supporters.

Original languageEnglish
Pages (from-to)1077-1079
Number of pages3
JournalDermatologic Surgery
Issue number8
StatePublished - Aug 2008


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