The doctor returned to amputate Pakhi Begum's legs, using local anesthesia.

WSJ: Bangladesh Amputees Face New Test

An alternative type of laryngoplasty involves injection of purified fats, Gelfoam, collagen or alloderm tissues such as Cymetra which may be performed in a clinic setting under local anesthesia or occasionally under general anesthesia.

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He decided to walk to the local hospital, where, as an anesthesia specialist, he spent most of his daytime hours.

NEWYORKER: The Thin Red Line