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Case Reports in Surgery
Volume 2013 (2013), Article ID 765279, 3 pages
http://dx.doi.org/10.1155/2013/765279
Case Report

The Prophylactic Use of Lipid Emulsion Therapy in the Excision of Invasive Malignant Melanoma under Local Anaesthetic in a Morbidly Obese Patient

1Royal Hallamshire Hospital, Sheffield Teaching Hospitals, Glossop Road, Sheffield S10 2FJ, UK
2Department of Plastic and Reconstructive Surgery, Sheffield Teaching Hospitals, 4 Claremont Place, Glossop Road, Sheffield S102 FJ, UK
3Nottingham University Hospitals, Nottingham NG5 1PB, UK

Received 10 December 2012; Accepted 31 December 2012

Academic Editors: A. Cho, J. Griniatsos, A. R. Novotny, G. Rallis, and A. Spinelli

Copyright © 2013 K. S. Sharma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present the first reported case of the prophylactic use of lipid emulsion therapy in the removal of an extensive, circumferential malignant melanoma in a morbidly obese patient, under local anaesthetic. The advantages of this technique allowed the patient to avoid intraoperative invasive monitoring and postoperative critical care admission and assisted during the operation by rotating her leg when needed. This is a useful technique that can be employed in urgent cases where there is a need to excise extensive skin malignancies in patients who are unsuitable for general or regional anaesthesia.