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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
Journals - Article | |
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ACTA CHIRURGIAE PLASTICAE 41, 4, 1999, pp. 103 - 106 | |
AN INFILTRATION TECHNIQUE FOR REDUCTION
MAMMAPLASTY: RESULTS IN 192 CONSECUTIVE BREASTS O’Donoghue J. M. 1 , Chaubal N. D. 2 , Haywood R. M. 1 , Rickard R. 1 , Desai S. N. 1 Departments of Plastic Surgery 1 and Anaesthesia 2 , Stoke Mandeville NHS Trust Hospital, Aylesbury, Bucks, United Kingdom |
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Summary: The use of local anaesthetic infiltration with adrenaline is now considered safe in reduction mammaplasty. How-
ever, the technique of infiltration by those who support its use is often unclear. Any technique must take account
of the neurovascular anatomy of the breast if it is to be effective. We propose the use of a large volume of dilute
local anaesthetic (20 ml of 1% lignocaine and 1 mg of adrenaline made up to 400 ml with 0.9% saline) which is
placed judiciously in the retroglandular space 15 minutes prior to surgery.
The results in 96 consecutive patients (192 breasts) who had an inferior pedicle technique were analysed. The
breast complication rate was 9.36 % and the patient complication rate 19.79 %. Postoperative blood loss ranged
from 0 to 305 ml with a mean of 56.03 ml and a median of 50 ml.
The described method could be considered a variation of the tumescent technique used in liposuction. The re-
sults is an almost bloodless dissection with minimal postoperative blood loss. It should be possible to dispense
with the use of drains in most cases.
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