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3. Multisacular incisional hernia of the midline. The umbilical hernia has bin already reduced. 7 Postoperative care The surgical wound is dressed and covered by an elastic girdle. Immediately after the operation the patient sits in the operation table, stays up and walks some 10 meters to the postoperative care station where he sits in a comfortable armchair. At this point the anesthetist and the postoperative care nurse take care of the patient. At this stage the patient is allowed to take a breakfast in the company of a family member.
6. Summary Local anesthesia makes cosmetic procedures not only appealing but cost effective also by making them day care ones. A topical anesthetic cream with occlusion is most common technique of local anesthesia. Field block is achieved by infiltration of LA in and around area to be treated. It is modified to target an innervating nerve trunk by various nerve blocks. Tumescent local anesthesia is a state of art modification of LA to anesthetize a very large volume of tissue for prolonged period without significant adverse effects.
Topical anesthetic update: Emla and beyond. Dermatol Surg 2001; 27:1019-26. M, ‘Needle-Free’ Delivery of Local Anesthesia: A Valuable Option in Pediatrics. Pediatric Drugs 2002; 4: 349-52.  Banga AK, Bose S, Ghosh TK. Iontophoresis and electroporation: comparisons and contrasts, International Journal of Pharmaceutics. 1999; 179(2): 1-19  Carruthers J, Carruthers A. (Eds). Soft Tissue Augmentation,New Delhi:Elsevier 2006, 155-159.  Arndt KA, Burton C, Noe JM. Minimizing the pain of local anesthesia.