Objective:

To assess patient satisfaction, tumescent local anaesthesia volume, and complication rates after breast surgery using tumescent local anaesthesia.

Approach:

• Study Design: A retrospective, monocentric, nonrandomized, open-label study involving 153 patients screened, with 104 included in the analysis.
• Tumescent Local Anaesthesia (TLA): Patients received TLA with varying concentrations based on surgical extent, administered via infusion pump until effective anaesthesia was achieved.
• Questionnaire: Patients completed an eight-item questionnaire regarding their satisfaction, pain levels, and complications.

Key Findings:

• Mean age of patients was 60.0 years, with significant age differences between outpatient (48.4 years) and inpatient groups (74.1 years; p < 0.001).
• Mean BMI was 24.6 kg/m2, with lower BMI in the outpatient group (23.5 kg/m2) compared to the inpatient group (26.0 kg/m2; p = 0.023).
• Higher preoperative ASA and ECOG scores were more common in the inpatient group.

Interpretation:

The study assesses patient satisfaction and the effectiveness of TLA in breast surgeries, highlighting demographic differences between outpatient and inpatient groups.

Limitations:

• Retrospective design may introduce bias.
• Nonrandomized nature limits generalizability.

Conclusion:

The findings contribute to understanding the role of TLA in breast surgery, particularly regarding patient satisfaction and perioperative outcomes.