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Simple mastectomy under local anaesthesia.

A R Dennison, R M Watkins, M E Ward

    Annals of the Royal College of Surgeons of England
    |July 1, 1985
    PubMed
    Summary
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    Simple mastectomy for locally advanced breast cancer was safely performed using regional anesthesia with lignocaine and adrenaline. Oral lorazepam provided effective preoperative sedation without complications.

    Area of Science:

    • Oncology
    • Anesthesiology
    • Surgical Oncology

    Background:

    • Locally advanced breast cancer requires surgical intervention.
    • Regional anesthesia is an alternative to general anesthesia for breast surgery.
    • Assessing the safety and efficacy of regional anesthesia in breast cancer surgery is crucial.

    Purpose of the Study:

    • To evaluate the feasibility and safety of simple mastectomy using regional anesthesia for locally advanced breast cancer.
    • To assess the effectiveness of oral lorazepam for preoperative sedation in this patient group.

    Main Methods:

    • Nine patients with locally advanced breast cancer underwent simple mastectomy.
    • Regional anesthesia was administered using 1% lignocaine with 1:100,000 adrenaline.
    • Preoperative sedation was achieved with oral lorazepam.

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    Main Results:

    • The procedure was technically successful in all nine patients.
    • No instances of lignocaine toxicity were observed.
    • There was no excessive operative blood loss.
    • No surgical wound infections occurred.

    Conclusions:

    • Simple mastectomy under regional anesthesia with lignocaine and adrenaline is a safe and effective option for locally advanced breast cancer.
    • Oral lorazepam is a suitable agent for preoperative sedation in patients undergoing this procedure.
    • This anesthetic approach minimizes risks associated with general anesthesia in breast cancer patients.