engleski

LOCAL INFILTRATION ANALGESIA FOR REDUCTION OF POSTOPERATIVE PAIN FOLLOWING GENERAL ANAESTHESIA FOR MAMMOPLASTY IN DAY SURGERY

Mammoplasty is a breast reduction surgery procedure which is usually done under general anaesthesia. At the end of the mammoplasty procedure, liposuction of the breast is used to get a better contour and aesthetic result. Before starting the liposuction procedure, a tumescent solution is used to eliminate the risks of bleeding associated with liposuction. This tumescent solution is comprised of epinephrine, lidocaine, saline and sodium bicarbonate, and it is a standard solution used which has revolutionized liposuction procedures. The associated vasoconstriction has permitted the extensive use of microcannulas and superficial liposuction, thus dramatically improving aesthetic results and reduced bleeding into procedural areas. Within a clinical practice setting, patients after mammoplasty surgery with liposuction have reduced postoperative analgesic consumption and have hasten recovery. Nowadays, many techniques are used in multimodal analgesia in various surgical subdisciplines, in order to achieve a painless recovery period, better patient comfort and to improve patient outcome. Attention needs to be drawn to clinical experience with infiltrating the breast tissue, with the tumescent solution, at the end of breast reduction surgery. This not only contributes to reduce risk of bleeding, following a liposuction procedure, but also to reduce acute postoperative pain within the early postoperative period. The combination of all mentioned leads to faster recovery and earlier release following mammoplasty. This is the ultimate goal of a surgical procedure, when classifying it as a day surgery procedure.

Mammoplasty, tumescent solution , multimodal analgesia, postoperative pain

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