Breast augmentation under general anesthesia versus monitored anesthesia care: a retrospective comparative study.

Abstract:

:Breast augmentation is one of the leading esthetic surgeries, enjoying high satisfaction rates. Pain, nausea, and vomiting are frequent shortcomings of the immediate postoperative period. The aim of this study was to compare breast augmentation from the anesthetic point of view: general anesthesia (GA) versus monitored anesthesia care (MAC). The charts of 115 patients were reviewed in this retrospective study performed over a period of 2 years. Sixty-nine women chose to have the surgery done under MAC, and 46 under GA. Statistically significant differences were noted in both postoperative hospital stay (16.1 +/- 6.78 hours vs. 11.7 +/- 6.10 hours) and frequency of vomiting (mean, 0.5 vs. 0.22 times per patient) after GA and MAC, respectively (Mann-Whitney, P < 0.01). Postoperative pain, assessed using the visual analog scale, was significantly higher (mean visual analog scale, 5 vs. 3.27) when the prosthesis was placed in the submuscular plane compared with the subglandular plane (Mann-Whitney, P = 0.043). When offered a choice, more women preferred MAC over GA for their breast augmentation procedure. Less vomiting and shorter postoperative hospitalization were prominent in the MAC group.

journal_name

Ann Plast Surg

authors

Eldor L,Weissman A,Fodor L,Carmi N,Ullmann Y

doi

10.1097/SAP.0b013e31815bfe98

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

243-6

issue

3

eissn

0148-7043

issn

1536-3708

pii

00000637-200809000-00004

journal_volume

61

pub_type

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