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Simple Anesthesia for Simple Mastectomies

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Abstract

We describe our technique for simple mastectomy under local anesthesia for patients with high anesthetic risk factors, particularly the elderly. Seven patients with a mean age of 88 years (range 80–94 years) with American Society of Anesthesiologists (ASA) classes of three or four were given a simple mastectomy using local anesthesia and an intravenous sedative. Blood loss was minimal (mean = 95.7 cm3), as was operating room time (mean = 62 min). Most patients were returned to nursing homes on post-operative day 2. There were no complications related to the procedure.

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References

  1. Ries LAB, Hanky BR, Edwards BK (eds) Cancer Statistics Review, 1983-1987. National Cancer Institute Division of Cancer Prevention and Control Surveillance Program, Bethesda, NIH Publication No. 90-2789, 1989

    Google Scholar 

  2. Singletary E, Shallenberger R, Guinee VF: Breast cancer in the elderly. Ann Surg 218: 667-671, 1993

    Google Scholar 

  3. Martelli G, De Palo G: Breast cancer in elderly women (=70 years): which treatment? Tumori 85: 421-424, 1999

    Google Scholar 

  4. Kimmick GG, Balducci L: Breast cancer and aging: clinical interactions. Hematol Oncol Clin N Am 14: 213-234, 2000

    Google Scholar 

  5. Ashkanani F, Eremin O, Heys SD: The management of cancer of the breast in the elderly. Eur J Surg Oncol 24: 396-402, 1998

    Google Scholar 

  6. Berde CB, Strichartz GR: Local anesthetics. In: Miller RD (ed.) Anesthesia. Vol. 1, 5th edn, Churchill Livingstone, Philadelphia, 2000, p 505

    Google Scholar 

  7. Oakley N, Dennison AR, Shorthouse AJ: A prospective audit of simple mastectomy under local anaesthesia. Eur J Surg Oncol 22: 134-136, 1996

    Google Scholar 

  8. Dennison A, Oakley N, Appleton D, Paraskevopoulos J, Kerrigan D, Cole J, Thomas WEG: Local anesthesia for major general surgical procedures: a review of 116 cases over 12 years. Postgrad Med J 72: 105-108, 1996

    Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Easton Hospital, Easton, PA, USA

    Abed Y. Joseph & Robert Bloch

  2. CIGNA Healthcare of Arizona, Arizona, USA

    Sandra Yee

Authors
  1. Abed Y. Joseph
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  2. Robert Bloch
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  3. Sandra Yee
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Joseph, A.Y., Bloch, R. & Yee, S. Simple Anesthesia for Simple Mastectomies. Breast Cancer Res Treat 77, 189–191 (2003). https://doi.org/10.1023/A:1021386722363

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  • DOI: https://doi.org/10.1023/A:1021386722363

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