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Reduction mammaplasty with adrenaline infiltration: effects on perioperative bleeding
L Blomqvist1, G Sellman, J O Strömbeck
1Department of Plastic Surgery, Stockholm Soder Hospital, Sweden.
Summary
Adrenaline infiltration during reduction mammaplasty significantly reduces bleeding and allows for drain omission. This technique improves patient outcomes without increasing complication risks like infection or hematoma.
Area of Science:
- Plastic Surgery
- Surgical Innovation
- Patient Safety
Background:
- Reduction mammaplasty aims to reduce breast size while minimizing complications.
- Intraoperative bleeding and postoperative hematoma are common concerns in reduction mammaplasty.
- The use of drains is standard practice to manage fluid collection and reduce hematoma risk.
Purpose of the Study:
- To evaluate the impact of local anesthetic and adrenaline infiltration on bleeding and outcomes in reduction mammaplasty.
- To determine if omitting postoperative drains is safe and effective when adrenaline is used.
Main Methods:
- Retrospective comparison of two patient groups undergoing Strömbeck reduction mammaplasty.
- One group received local anesthetic with adrenaline; the control group did not.
- Data collected included intraoperative bleeding, postoperative bleeding, drain usage, and complication rates.
Main Results:
- Adrenaline reduced intraoperative bleeding from 0.5 to 0.1 ml/g resected tissue.
- Postoperative bleeding was also reduced in the adrenaline group.
- Drains were omitted in 104 patients receiving adrenaline without increased rates of infection, hematoma, or reoperation.
Conclusions:
- Local anesthetic with adrenaline infiltration is effective in reducing bleeding during reduction mammaplasty.
- Postoperative drains can be safely omitted following Strömbeck reduction mammaplasty when adrenaline is used.
- This approach may streamline the procedure and potentially improve patient recovery.