肿胀麻醉在保留皮肤和乳头的乳房切除术中的应用：一项前瞻性临床研究的结果。
Tumescent Anesthesia in Skin- and Nipple-sparing Mastectomy: Results of a Prospective Clinical Study.
作者信息
Gipponi Marco, Baldelli Ilaria, Atzori Giulia, Fregatti Piero, Murelli Federica, Pesce Marianna, Margarino Cecilia, Depaoli Francesca, Friedman Daniele
机构信息
Breast Surgery, Breast Unit, University of Genoa, School of Medicine, San Martino Hospital and National Cancer Institute, Genoa, Italy
Plastic Surgery, Breast Unit, University of Genoa, School of Medicine, San Martino Hospital and National Cancer Institute, Genoa, Italy.
出版信息
Anticancer Res. 2017 Jan;37(1):349-352. doi: 10.21873/anticanres.11328.
BACKGROUND
The tumescent mastectomy technique has been used to facilitate dissection of subcutaneous tissue and mammary gland in order to reduce intraoperative bleeding and speed the operation.
PATIENTS AND METHODS
A prospective clinical study was performed on 30 female patients undergoing immediate breast reconstructions after skin-sparing mastectomy (SSM) or nipple-sparing mastectomy (NSM) in order to assess early postoperative complications, pain, and final esthetic outcome of skin flaps related to tumescent anesthesia (TA).
RESULTS
TA significantly speeded-up the operative procedure (131±49.99 vs. 180.5±67.15 min; p=0.03) achieving less skin damage compared to patients who did not have TA (p=0.045); moreover, no significant difference occurred with regard to the length of in-hospital stay and overall lymphatic drainage.
CONCLUSION
The length of the operation as well as the final cosmetic outcome of skin flaps was significantly improved due to TA, with no appreciable side-effects.
背景
肿胀麻醉乳腺切除术技术已被用于促进皮下组织和乳腺的解剖，以减少术中出血并加快手术速度。
患者与方法
对30例行保乳皮肤切除术（SSM）或保乳头乳房切除术（NSM）后即刻乳房重建的女性患者进行了一项前瞻性临床研究，以评估与肿胀麻醉（TA）相关的术后早期并发症、疼痛以及皮瓣的最终美学效果。
结果
与未进行TA的患者相比，TA显著加快了手术进程（131±49.99对180.5±67.15分钟；p = 0.03），皮肤损伤更少（p = 0.045）；此外，住院时间和总体淋巴引流方面无显著差异。
结论
TA显著改善了手术时长以及皮瓣的最终美容效果，且无明显副作用。
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