Manufacture and use of tumescence solution meeting hospital‐required hygiene conditions – practical implications

local anesthetics are an integral part of modern surgery since diluted solutions of cocaine were described nearly 150 years before. Tumescent local anesthesia (TLA) utilizes a mixture of highly diluted local anesthetics in a carrier solution and is used for skin biopsies, excision of skin tumors and vein surgery. Also, wide excisions for hidradenitis suppurativa, serial excisions of giant congenital nevi (figure 1), rhinophyma-surgery or lymph node dissections are feasible using TLA. This article is protected by copyright. All rights reserved.