Title: Comparative Assessment of Thoracic Epidural and General Anaesthesia in Modified Radical Mastectomy
Author: Dr Rajeev Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.161
Abstract
A modified radical mastectomy is a technique in which the whole breast is removed, including the skin, areola, nipple, and most axillary lymph nodes; the pectoralis major muscle is spared. The study is conducted in Shri Ramkrishna Institute of Medical Sciences & Sanaka Hospitals in Surgery department. The approval of ethical committee had been taken along with the consent from the patients were also taken. Total 50 patients having are group of 40-70 year were enrolled in to the study.
Before surgery, all the patients were instructed regarding benefits of thoracic epidural over general anesthesia by surgeon and the anesthesiologist. General anaesthesia to group B patients having total 25 cases and thoracic epidural was given to patients in group A of 25 patients.
The present study concludes that thoracic epidural anesthesia can be safely and soundly used in women undergoing modifying radical breast surgeries. The thoracic epidural technique not only provides hemodynamic stability but also significantly enhances postoperative analgesia and improves overall satisfaction for patients undergoing modifying radical mastectomy.
Keywords: modified radical mastectomy, general anesthesia, epidural anesthesia.
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