Journal
KOREAN JOURNAL OF ANESTHESIOLOGY
Volume 70, Issue 1, Pages 77-80Publisher
KOREAN SOC ANESTHESIOLOGISTS
DOI: 10.4097/kjae.2017.70.1.77
Keywords
Pecs block; Regional anesthesia; Segmental mastectomy; Thoracic nerves
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A 22-years-old female patient at 171 cm and 67 kg visited the Department of Breast Surgery of the hospital with a mass accompanied with pain on the left side breast as chief complaints. Since physical examination revealed a suspected huge mass, breast surgeon decided to perform surgical excision and requested anesthesia to our department. Surgery of breast tumor is often under local anesthesia. However, in case of big size tumor, surgery is usually performed under general anesthesia. The patient feared general anesthesia. Unlike abdominal surgery, there is no need to control visceral pain for breast and anterior thoracic wall surgery. Therefore, we decided to perform resection under regional anesthesia. Herein, we report a successful anesthetic and pain management of the patient undergoing excision of a huge breast fibroadenoma under regional anesthesia using Pecs II and internal intercostal plane block.
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