ESRA Academy. Sakic K. Sep 9, 2016; 138494; 0354 Topic: Incisional Techniques - Wound Infiltration
Dr. Kata Sakic
Dr. Kata Sakic

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Background and Aims:

Local infiltration anesthesia (LIA) technique to obtain regional anesthesia and vasoconstriction of the skin and subcutaneous tissues is routinely adopted for  primary subglandular breast augmentation. This series evaluates advantages and disadvantages of LIA in elective augmentation breast surgery as well as patients' response to this procedure.


60 patients underwent bilateral primary breast augmentation under preoperative  LIA, combinations of 5ml 0.5% levobupivacaine and 4 ml 2% lidocaine with epinephrine   on each side and compared to only Ketolorac groups respectively. Midazolam 0.05 mg/kg IV  were given as premedication. Surgery was performed under sevoflurane anesthesia.Postoperative pain was assessed  by visual analogue scale(VAS) treating with Ketolorac and Tramadol.


60 patients were included in the LIA and only Ketorolac groups respectively. Postoperative pain was lower  at 2 and 4 hour after surgery in the LIA group. Recovery room time averaged 125 minutes.VAS in LIA group were 1 to 2 in  76,6% vs 4-6  in Ketorolac group of patients.Vomiting were found in a total of 9 (5.3%) patients without complications such as hematoma or seroma formation. 86,7% of patients discharge same day.


Single shot infiltration with levobupivacaine  improves postoperative pain control after breast  surgery. Perioperative physicians should consider delivering LIA earlier during the procedure as opposed to solely at the time of wound closure.

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