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It offers the advantages of less morbidity, preservation of patient's privacy, reduced adverse effects of anesthesia, and a more-rapid return to activity with minimal complications. , 2003) performed 29 men with penile deformity, venous patch for morphologic correction. They received autologous grafting of the deep dorsal vein under local anesthesia as an outpatient procedure. The anesthetic effect and postoperative results were satisfactory. The common immediate side effects included puncture of the vessels, subcutaneous ecchymosis, and transient palpitation, but there were no significant late complications.
Local anesthesia is sometimes associated with systemic toxicity. This local anesthetic systemic toxicity (LAST) has been a topic of contemporary interest. Although the exact cause and management of LAST (particularly local anesthetic cardiotoxicity) is unclear, there have been some recommendations. Current data suggests that the LAST cardiotoxicity occurs primarily at sodium channels. Lipid emulsion is a reasonably well-tolerated and effective treatment, and there may be qualitative differences in cardiotoxicity caused by low and high-potency local anesthetics (Wolfe and Butterworth, 2011).
Local anesthesia for dermatologic surgery. Semin Dermatol 1994;13:35–42.  Tucker GT, Mather LE. Properties, absorption, and deposition of local anesthetic agents. In: Cousins MJ, Bridenbaugh PO, eds. Neural blockade in clinical anesthesia and management of pain. Philadelphia: JB Lippincott, 1988:47–110.  Auletta MJ, Grekin RC. Local anesthesia for dermatologic surgery. New York: Churchill Livingstone, 1991:1–40. , Bombay: Popular Prakashan Pvt. Ltd. 1992; 189-194. 28 Clinical Use of Local Anesthetics  Covino BG, Vassallo HG.