Awake axillary giant lipoma excision under serratus plane block

Yayık, Ahmet Murat; Ahişkalıoğlu, Ali; Çelik, Erkan; Çelik, Sinan; Inaloz, Akin

doi:10.1016/j.bjane.2018.04.006

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Satisfaction scores are listed in Figure 1. fifth ribs for the resection of a giant axillary lipoma 8 . SPB with 25ml of 0.75% ropivacaine has also been effectively used for lumpectomy and axillary lymphadenectomy 9 .…”

Section: Resultsmentioning

confidence: 99%

“…Luo et al described the successful association between SPB at the level of the sixth rib and brachial plexus block via interscalene approach in a patient who underwent resection of a large axillary tumor 7 . Yayik et al used SPB superficial to the serratus anterior muscle between the fourth and fifth ribs for the resection of a giant axillary lipoma 8 . SPB with 25ml of 0.75% ropivacaine has also been effectively used for lumpectomy and axillary lymphadenectomy 9 .…”

Section: Discussionmentioning

confidence: 99%

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Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series

Theobald

Araujo

Thuler

et al. 2023

Rev. Col. Bras. Cir.

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Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series

Theobald

Araujo

Thuler

et al. 2023

Rev. Col. Bras. Cir.

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“…Isso pode afetar a exposição ambiental e a lesão pulmonar associada ao ventilador, possivelmente impactando a alta mortalidade na população de câncer COVID-19 5,6 . e quinta costelas para a ressecção de um lipoma axilar gigante 8 . Vinte e cinco mililitros de ropivacaína 0,75% no BPS também foram empregados efetivamente como técnica anestésica para lumpectomia e linfadenectomia axilar 9 .…”

Section: Introductionunclassified

Bloqueio do plano do músculo serrátil guiado por ultrassonografia associado à sedação venosa como técnica anestésica em cirurgia de linfadenectomia axilar: uma série de casos prospectiva

Theobald

Araujo

Thuler

et al. 2023

Rev. Col. Bras. Cir.

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RESUMO A linfadenectomia axilar é um procedimento cirúrgico padrão para tratamento de tumores de pele e partes moles no estádio III e usualmente é realizada sob anestesia geral. A presente serie de casos prospectiva tem por objetivo investigar a viabilidade da realização da linfadenectomia axilar com o uso do bloqueio do plano do músculo serrátil anterior associado a sedação endovenosa. Foram incluídos 15 pacientes no estudo. Os participantes foram recrutados e avaliados durante consulta pré-anestésica ambulatorial, acompanhados durante o dia da cirurgia, no primeiro e no trigésimo dias de pós-operatório. O bloqueio foi realizado anterior ao músculo serrátil anterior ao nível da quarta costela na linha axilar média. A sedação foi realizada com o uso de propofol, fentanil, dexmedetomidina e dextrocetamina. Não houve necessidade de conversão para anestesia geral em nenhum paciente. Os cirurgiões apresentaram resposta altamente positiva quando questionados sobre a técnica anestésica, considerando na maior parte dos casos “indistinguível” da anestesia geral. A mediana (intervalo interquartil) da dor em repouso em todos os momentos avaliados foi 0 (0-0). Além disso, nenhum paciente desenvolveu náuseas, vômitos, instabilidade hemodinâmica ou qualquer complicação relacionada à técnica empregada. O bloqueio do plano do músculo Serrátil anterior associado a sedação venosa se mostrou viável para execução de linfadenectomia axilar, entretanto ensaios clínicos adicionais são necessários para avaliar potenciais vantagens em comparação com outras técnicas.

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“…Lipomas are benign tumors of mature adipose tissue originating from subcutaneous tissue or internal organs. 1 A total of 10 patients with axillary giant lipoma has been reported in the relevant literature [2][3][4][5][6][7][8][9][10] (Table 1). However, none of them showed spontaneous perforation.…”

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confidence: 99%

Axillary giant lipoma opening to the skin surface: A unique presentation mimicking accessory breast

Kilitçi

Elmas

Demirbaş

et al. 2021

Dermatologic Therapy

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A 78-year-old female presented with a slowly growing mass on the left axillary region. Physical examination showed a painless giant mass 11 × 8.5 cm in diameter, protruding from the left axillary region. Her past medical history included significant overweight, cerebrovascular stroke, goiter, and hypertension. The patient was bedridden for 5 years due to cerebrovascular stroke. She had no history of surgery or trauma to the left axillary region. Physical examination showed an F I G U R E 1 A giant axillary mass with spontaneous rupture 11 × 8.5 cm in diameter, protruding from the left axillary region (A). Gross examination of the excision specimen showed an encapsulated yellow fatty tissue partially opened to the skin surface (B). H&E sections of the overlying skin showed epidermal atrophy, degenerated collagen fibers, numerous dermal dilated vascular structures and mixed inflammatory infiltration (C). H&E sections of the mass revealed mature benign adipose tissue (D)

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Awake axillary giant lipoma excision under serratus plane block

Cited by 4 publications

References 3 publications

Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series

Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series

Bloqueio do plano do músculo serrátil guiado por ultrassonografia associado à sedação venosa como técnica anestésica em cirurgia de linfadenectomia axilar: uma série de casos prospectiva

Axillary giant lipoma opening to the skin surface: A unique presentation mimicking accessory breast

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