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

Annals of Plastic Surgery
Liron EldorYehuda Ullmann

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.

Associated Clinical Trials

References

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Citations

Apr 29, 2016·The Breast : Official Journal of the European Society of Mastology·Bettina BallardiniPaolo Veronesi
Feb 1, 2012·Aesthetic Surgery Journal·Alex Colque, Michael L Eisemann
Jul 12, 2018·Aesthetic Plastic Surgery·Alberto BollettaEmilio Trignano
Aug 21, 2012·European Journal of Plastic Surgery·Maria Elsa Meza BritezAlcides Chaux
Jan 24, 2019·Annals of Plastic Surgery·Raffaele CeccarinoRenato Cappelletti
Sep 16, 2015·Plastic and Reconstructive Surgery·Bridget HarrisonJeffrey E Janis
Dec 17, 2015·Annals of Plastic Surgery·Antonio RuscianiGiuseppe Curinga
Aug 25, 2016·Plastic and Reconstructive Surgery·Bridget HarrisonJeffrey E Janis
Sep 17, 2019·Annals of Plastic Surgery·Raffaele CeccarinoRenato Cappelletti
Oct 14, 2020·British Journal of Anaesthesia·Friederike C AlthoffMatthias Eikermann
Jul 9, 2009·Current Opinion in Anaesthesiology

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