Modified radical mastectomy under local anasthesia using Tumescent Technique experience of Teaching Hospitals in Iraq
 
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1
Department of surgery, Medical College, Kufa University, Iraq, Iraq
 
2
Department of surgery, Al-Khadymia Teaching Hospital, Baghdad, Iraq, Iraq
 
3
Department of surgery, AL Najaf Teaching Hospital, Najaf Health Directorate, Iraq, Iraq
 
4
College of medicine, University of Alkafeel, Iraq, Iraq
 
5
Department of surgery, College of medicine, Jabir Ibn Hayyan for medical and pharmaceutical University, Iraq, Iraq
 
 
Submission date: 2024-10-15
 
 
Acceptance date: 2024-12-10
 
 
Publication date: 2025-04-01
 
 
Corresponding author
Samer Makki Mohamed Al Hakkak   

College of medicine, University of Alkafeel, Iraq, Iraq
 
 
Wiadomości Lekarskie 2025;(2):311-315
 
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ABSTRACT
Aim:
Background: In Western nations, breast cancer is most common cause of death for middle-aged and older women. Aims: to evaluate the advantages, disadvantages, safety, and restrictions of local anaesthetic against general anesthesia for mastectomy.

Material 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.

Conclusions:
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).
eISSN:2719-342X
ISSN:0043-5147
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