Gynecomastia surgery under tumescent anaesthesia v/s general anaesthesia
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 6, Pages 1598-1601
AbstractBackground: Gynecomastia is a common cosmetic problem encountered in Plastic Surgery practice. The surgery for gynecomastia is becoming popular owing to less invasive procedures, advances in anaesthesia and day care nature of these procedures. These procedures are performed under local anaesthesia with sedation, tumescent anaesthesia and general anaesthesia.
Methods: Authors studied 20 cases operated by a single surgeon; those were operated from January 2021 to December 2021 retrospectively. Ten of them were operated under tumescent anaesthesia and another ten under general anaesthesia. They were analyzed for post-operative aesthetic outcome, completeness of glandular excision, intra-operative comfort.
Results: All the ten patients had complete glandular excision and there was no contour irregularity and all of them preferred to undergo further procedures under general anaesthesia. Among the ten patients who had undergone surgery under tumescent anaesthesia, one had a small residual gland; another one had minor surface irregularity and five of them preferred to not to undergo further surgeries under tumescent anaesthesia in future as they felt some kind of discomfort during the procedure.
Conclusion: Our study shows that our patients preferred to undergo gynecomastia surgery under general anaesthesia due to the increasing safety and comfort. The authors also feel it’s more comfortable to do these surgeries under general anaesthesia.
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