Overview
The present study aims to investigate the impact of Tumescent Local Anesthesia (TLA) on pain perception following surgeries typical for breast cancer. Previous research has already confirmed the feasibility of conducting operations in TLA for benign breast conditions. In contrast to general anesthesia, Tumescent Local Anesthesia involves local anesthesia of the surgical site, allowing patients to remain awake during the procedure and eliminating the risks associated with general anesthesia. Additionally, if needed, sedatives or further anesthesia can be administered through the vein. Building upon the successful applications of TLA in benign breast surgeries, this follow-up study at the Department of Women's Health focuses on enhancing surgical techniques, pain management, and postoperative care for breast cancer-related procedures. Simultaneously, our goal is to gather scientific data regarding the application of this technique. This research contributes to the continuous advancement of medical practices in the field of breast surgery.
Eligibility
Inclusion Criteria:
- Age ≥18 years
- Written informed consent
- Histologically confirmed breast carcinoma or pure ductal carcinoma in situ
- Planned operation:
- Segmental resection/ breast-conserving surgery
- Segmental resection/ breast-conserving surgery with SNB
- Ablatio
- Ablatio with SNB/ axilla exploration
Exclusion Criteria:
- Expected lack of patient compliance or inability of the patient to understand the purpose of the study
- Lack of patient consent
- Pregnancy
- Complete axillary dissection
- Tumour-adapted reduction surgery, implant reconstructions
- Surgeries where technical difficulties are expected under any anaesthesia (e.g. ASA IV, BMI > 40)
- Bilateral breast operations
- Men
Exclusion Criteria for surgery in TLA:
- Injection phobia
- Psychoses/ previous psychological illnesses
- Advanced dementia
- Language barrier