Patient satisfaction and perioperative data after breast surgery in tumescent local anaesthesia
By
M. Meffert
B. Schoenfisch
S. Guergan
I. Gruber
U. Hoopmann
G. Helms
C. Roehm
J. Pasternak
C. Haupt
E. Oberlechner
S. Y. Brucker
M. Hahn
B. Boeer
July 18, 2026
Clinical Scorecard: Patient Satisfaction and Perioperative Outcomes Following Breast Surgery with Tumescent Local Anesthesia
At a Glance
Category Detail
Condition Breast Surgery Key Mechanisms Tumescent local anesthesia (TLA) using lidocaine and ropivacaine with epinephrine for effective analgesia. Target Population Patients undergoing breast surgery, particularly those with significant comorbidities. Care Setting Department of Women’s Health, University of Tuebingen, Germany.
Key Highlights
Study assessed patient satisfaction and perioperative outcomes in 104 patients. TLA was used as a sole anesthetic alternative to general anesthesia. Mean age of patients was 60 years, with significant differences in age and BMI between outpatient and inpatient groups. No reports of wire dislocation during preoperative localization. Complication rates and need for supplementary analgosedation were evaluated. Guideline-Based Recommendations
Diagnosis
Patients assigned to outpatient or inpatient groups based on histological findings and surgical complexity. Management
TLA infiltration performed prior to surgery with monitoring of vital signs. Monitoring & Follow-up
Patients' vital signs monitored during TLA and surgery. Risks
Potential for perioperative morbidity associated with general anesthesia in elderly patients. Patient & Prescribing Data
104 patients, predominantly female, with a mean age of 60 years.
TLA was effective for various types of breast surgery, with specific concentrations used based on surgical extent.
Clinical Best Practices
Utilize TLA for patients with significant comorbidities to reduce perioperative risks. Monitor patients closely during TLA and surgical procedures. Related Resources & Content
