Wide-awake Local Anesthesia and no Tourniquet (WALANT) in Plastic Surgery

University Hospital, Ioannina

Status: Completed

Conditions: Lower Limb Wound; Anesthesia, Local; Upper Limb Wound

Treatments: Procedure: WALANT

Study type: Observational

Funder types: Other

Identifiers

NCT04992351

11335

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 90 patients

Sex: All

Ages: 14+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• upper or lower limb operation
• indication for flap or skin grafting
• operated by the principal investigator

Exclusion criteria

• other concomitant operations performed
• known allergy to any of the ingredients of local anesthesia mixture

Trial design

90 participants in 2 patient groups

WALANT group

Description:

WALANT was used exclusively as anesthesia method for the operation

Treatment:

Procedure: WALANT

control

Description:

tourniquet with regional or general anesthesia was used for the operation

Treatment:

Procedure: WALANT