Aesthetic Unit Boundary Approach to Large Fibroadenoma Resection

Conclusions Concentric circumareolar approach can be used to resect large benign breast tumors while concealing the scar along the aesthetic unit boundary of the breast. The cosmetic outcome and recovery were promising. The approach is simple to execute, highly reproducible, and less dependent on intuition.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Related Links:

Throughout the last decade, aesthetic breast surgery has enormously spread in the outpatient clinic setting where plastic surgeons perform the vast majority of procedures under local anesthesia as day-case operations. The “tumescent anesthesia” is defined as the injection of a dilute solution of local anesthetic combined with epinephrine and sodium bicarbonate into subcutaneous tissue until it becomes firm and tense, which is “tumescent.” The “cold tumescent anesthesia” (CTA) derives from Klein's solution with the introduction of a new concept, which is the low temperature (4°C) of t...
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research
Conclusions: The 0.25% levobupivacaine with dexamethasone 4 mg in PecS II block provided longer duration of analgesia than the TPVB in patients undergoing MRM without any adverse effects.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Acute pain after breast surgery decreases the quality of life of cancer survivors. Previous studies using a variety of definitions and methods report prevalence rates between 10% to 80%, which suggests the need for a comprehensive framework that can be used to guide assessment of acute pain and pain-related outcomes after breast surgery. A multidisciplinary task force with clinical and research expertise performed a focused review and synthesis and applied the five dimensional framework of the AAAPT (Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION)- Americ...
Source: The Journal of Pain - Category: Materials Science Authors: Tags: Original Reports Source Type: research
CONCLUSIONS: After mostly minor surgery for breast cancer, PECS II block was not superior to local infiltration by the surgeon. PMID: 31490251 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
Nishkarsh Gupta, Rohini Dattatri, Anju GuptaJournal of Anaesthesiology Clinical Pharmacology 2019 35(3):422-423
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
Authors: Martin KM, Johnson B, Taylor RR PMID: 31378051 [PubMed - as supplied by publisher]
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
We report PMPS in a 39-year-old patient after revision operation of breast reduction surgery. Postoperatively, the patient showed symptoms of severe persistent pain, swelling, cutaneous temperature changes, and hyperhidrosis in the affected breast. Subcutaneous infiltration with triamcinolone acetonide and prilocaine only relieved the symptoms temporarily. Botox injections did not relieve her symptoms of sweating either. Two intercostal nerve branches were identified with ultrasonography and dissected in general anesthesia. This procedure relieved her symptoms. Surgeons should consider CRPS and PMPS as differential diagnos...
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Rakhi Khemka, Arunangshu Chakrborty, Sanjit Agrawal, Rosina AhmedIndian Journal of Anaesthesia 2019 63(7):530-536 Background and Aims: Pecs block and its variations provides perioperative analgesia, reduce PONV and other opioid related side effects. We hypothesized that COMIBPES block in addition to general anaesthesia will provide better postoperative analgesia when compared to general anaesthesia alone in breast cancer surgery patients. Methods: After obtaining permission from the institutional review board and registering the trial with Clinical Trials Registry of India (CTRI), we conducted a double blinded randomized ...
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
l;koğlu UH Abstract STUDY OBJECTIVE: Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries. DESIGN: Randomized controlled trial. SETTING: Operating room. PATIENTS: Seventy-five ASA I-II patients aged 25-65, who were scheduled to go under elective unilateral breast surgery for breast cancer...
Source: Clinical Genitourinary Cancer - Category: Cancer & Oncology Authors: Tags: J Clin Anesth Source Type: research
This article seeks to provide a current review of pertinent literature with regards to analgesia for chest wall surgery —specifically Pecs and serratus blocks.Recent FindingsIntermuscular plane blocks have been shown to be clinically efficacious in the setting of chest wall surgery, especially in the setting of oncologic breast surgery.SummaryPecs and serratus blocks provide a safe and effective alternative to neuraxial analgesia while avoiding many of the associated technical difficulties and potential complications.
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
More News: Anesthesia | Anesthesiology | Breast Surgery | Pediatrics | Plastic Surgery | Skin | Study