抄録
Patients are occasionally unhappy with the size, shape, and positioning of breast implants. An option to improve their satisfaction with breast augmentation includes directly involving them in the process with awake surgery done under nerve block and tumescence. This study describes the resultsof using such an awake anaesthesia technique in 35 patients. After the intercostal nerves dominating the Th3 to Th6 regions were anaesthetized using 0.5% bupivacaine, a tumescent solution consisting of lidocaine, epinephrine, and saline was injected around the mammary gland, and breast augmentation was conducted using silicon implants. The majority of patients (31/35) reported no pain during the procedure and all patients were able to choose and confirm their final implant size and positioning. In all cases, blood loss was less than 10 ml. No patient experienced pneumothorax or toxicity of local anaesthetics. Combined usage of the intercostal nerve block and tumescent anaesthesia effectively reduces pain during breast augmentation. Keeping patient conscious enables meeting their requests during operation, contributing to increased satisfaction. For these advantages, combined usage of the intercostal nerve block and tumescent anaesthesia is recommended as a useful anaesthetic technique for breast augmentation.
| 元の言語 | English |
|---|---|
| ページ（範囲） | 51-55 |
| ページ数 | 5 |
| ジャーナル | Journal of Plastic Surgery and Hand Surgery |
| 巻 | 48 |
| 発行部数 | 1 |
| DOI | |
| 出版物ステータス | Published - 2014 2 |
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ASJC Scopus subject areas
- Surgery
これを引用
Combined usage of intercostal nerve block and tumescent anaesthesia : An effective anaesthesia technique for breast augmentation. / Shimizu, Yusuke; Nagasao, Tomohisa; Taneda, Hiroko; Sakamoto, Yoshiaki; Asou, Toru; Imanishi, Nobuaki; Kishi, Kazuo.
：: Journal of Plastic Surgery and Hand Surgery, 巻 48, 番号 1, 02.2014, p. 51-55.研究成果: Article
}
TY - JOUR
T1 - Combined usage of intercostal nerve block and tumescent anaesthesia
T2 - An effective anaesthesia technique for breast augmentation
AU - Shimizu, Yusuke
AU - Nagasao, Tomohisa
AU - Taneda, Hiroko
AU - Sakamoto, Yoshiaki
AU - Asou, Toru
AU - Imanishi, Nobuaki
AU - Kishi, Kazuo
PY - 2014/2
Y1 - 2014/2
N2 - Patients are occasionally unhappy with the size, shape, and positioning of breast implants. An option to improve their satisfaction with breast augmentation includes directly involving them in the process with awake surgery done under nerve block and tumescence. This study describes the resultsof using such an awake anaesthesia technique in 35 patients. After the intercostal nerves dominating the Th3 to Th6 regions were anaesthetized using 0.5% bupivacaine, a tumescent solution consisting of lidocaine, epinephrine, and saline was injected around the mammary gland, and breast augmentation was conducted using silicon implants. The majority of patients (31/35) reported no pain during the procedure and all patients were able to choose and confirm their final implant size and positioning. In all cases, blood loss was less than 10 ml. No patient experienced pneumothorax or toxicity of local anaesthetics. Combined usage of the intercostal nerve block and tumescent anaesthesia effectively reduces pain during breast augmentation. Keeping patient conscious enables meeting their requests during operation, contributing to increased satisfaction. For these advantages, combined usage of the intercostal nerve block and tumescent anaesthesia is recommended as a useful anaesthetic technique for breast augmentation.
AB - Patients are occasionally unhappy with the size, shape, and positioning of breast implants. An option to improve their satisfaction with breast augmentation includes directly involving them in the process with awake surgery done under nerve block and tumescence. This study describes the resultsof using such an awake anaesthesia technique in 35 patients. After the intercostal nerves dominating the Th3 to Th6 regions were anaesthetized using 0.5% bupivacaine, a tumescent solution consisting of lidocaine, epinephrine, and saline was injected around the mammary gland, and breast augmentation was conducted using silicon implants. The majority of patients (31/35) reported no pain during the procedure and all patients were able to choose and confirm their final implant size and positioning. In all cases, blood loss was less than 10 ml. No patient experienced pneumothorax or toxicity of local anaesthetics. Combined usage of the intercostal nerve block and tumescent anaesthesia effectively reduces pain during breast augmentation. Keeping patient conscious enables meeting their requests during operation, contributing to increased satisfaction. For these advantages, combined usage of the intercostal nerve block and tumescent anaesthesia is recommended as a useful anaesthetic technique for breast augmentation.
KW - Implants
KW - Plastic surgery
UR - http://www.scopus.com/inward/record.url?scp=84892659222&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84892659222&partnerID=8YFLogxK
U2 - 10.3109/2000656X.2013.800529
DO - 10.3109/2000656X.2013.800529
M3 - Article
C2 - 24325759
AN - SCOPUS:84892659222
VL - 48
SP - 51
EP - 55
JO - Journal of Plastic Surgery and Hand Surgery
JF - Journal of Plastic Surgery and Hand Surgery
SN - 2000-656X
IS - 1
ER -