Modified radical mastectomy under local anasthesia using Tumescent Technique experience of Teaching Hospitals in Iraq
Year: 2025
Type: article
Study design: Clinical Trial
Abstract: OBJECTIVE: Aim: To evaluate the advantages, disadvantages, safety, and restrictions of local anaesthetic against general anesthesia for mastectomy. PATIENTS AND METHODS: Materials and Methods: In this prospective clinical trial, which was carried out at Al-Sader teaching hospital from October 2020 to September 2023, 25 patients (LA group) with a mean age of 64.0±6.3 years (range 55-76 years) underwent a unilateral total mastectomy for breast cancer under local anesthesia using tumescent technique (by manual infiltration technique), and an additional 25 patients (GA group) as a control group with a mean age of 64.9±6.9 years (range 55-75 years) underwent a unilateral mastectomy. RESULTS: Results: With use of light sedation for 6 patients, anesthetic is sufficient for all 25 patients. The amount of blood loss intraoperatively measured by number of gauze used during the procedure, approximately 3 gauze, 20 cc of blood for each gauze was significantly lower in LA group than GA group, 2.7±0.4, 5.4±0.4 gauze respectively P<0.001. More than 8 hours after surgery, patients are pain-free. No postoperative complications like necrosis of skin flap, wound infection, or hematoma, when compared to GA group, surgery took substantially longer in LA group 48.9±14.3 minutes than in GA group 38.2±2.9 minutes; P<0.001. The day after the surgery, the patient was discharged. CONCLUSION: Conclusions: The use of tumescent anesthesia (which is safe and effective) is an attractive alternative method for general anesthesia in properly selected candidates (class IV according to American society of anesthesia).
Source: Wiadomości Lekarskie
DOI: 10.36740/wlek/197197
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4408808936