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A randomized, placebo controlled study: EMLA in minor breast surgery.

A Akan1, Y Eryavuz, S Kamali

  • 1Department of General Surgery, Okmeydanı Education and Research Hospital, Istanbul, Turkey. akanarzu@hotmail.com

Minerva Chirurgica
|April 11, 2012
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Topical eutectic mixture of local anesthetic lignocaine and prilocaine (EMLA) cream significantly reduced pain during and after breast lump excision. This effective topical anesthetic improved patient comfort and simplified the surgical procedure, reducing the need for additional pain relief.

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Published on: January 18, 2018

Area of Science:

  • Anesthesiology
  • Dermatology
  • Surgical Oncology

Background:

  • Patients undergoing breast lump excision often fear pain associated with local anesthesia.
  • General anesthesia or sedation are preferred due to this fear, increasing healthcare costs and risks.
  • Effective pain management is crucial for patient comfort and procedural success.

Purpose of the Study:

  • To evaluate the efficacy of topical eutectic mixture of local anesthetic lignocaine and prilocaine (EMLA) cream in reducing pain during breast lump excision.
  • To assess the impact of EMLA on the amount of local anesthetic required and postoperative analgesic needs.
  • To determine if EMLA improves patient and physician comfort and compliance during the procedure.

Main Methods:

  • A randomized, placebo-controlled study involving 45 patients undergoing breast lump excision.
  • Patients were divided into three groups: EMLA cream preoperatively, no preoperative preparation, and placebo.
  • Pain was assessed using the visual analog scale during and three hours post-operation; local anesthetic usage and postoperative analgesic needs were also recorded.

Main Results:

  • EMLA cream significantly reduced pain intensity during and after the procedure compared to control groups (P<0.05).
  • The amount of local anesthetic used intraoperatively was lower in the EMLA group (P<0.05).
  • Postoperative analgesic requirements were significantly less in patients who received EMLA (P<0.05).

Conclusions:

  • Topical EMLA provides effective non-invasive analgesia for benign breast mass excision.
  • EMLA use decreases pain, enhances perioperative and postoperative comfort for patients and physicians.
  • Improved patient compliance and simplified surgical procedures are key benefits of using EMLA.