Abstract
Breast reconstruction with tissue expander and implant after mastectomy was performed as an ambulatory surgery.
For one year, about 400 patients underwent surgery under the supervision of anesthesiologists in the Breast Surgery Clinic (BSC).
We present our anesthesia care in BSC and investigated side effects after the operation from April to November, 2007. The subjects were rated as I -II in ASA. Seventy-five patients underwent breast expansion and 106 patients underwent exchange breast implant. Postoperative pain was observed in 79.5% of the patients after these procedures. Postoperative nausea and vomiting were seen in 19.8% of all patients. Patients who underwent the expander procedure had postoperative pain more than the patients who underwent implant operation. Patients who underwent the implant exchange procedure had headache attended with sit down position compared with supine position.
We have to predict side effects from surgery to make ambulatory anesthesia successful.
