Evidence map›Paper›PMID 42470462›Full record

ArticleArchives of gynecology and obstetrics2026

Patient satisfaction and perioperative data after breast surgery in tumescent local anaesthesia.

M Meffert, B Schoenfisch, S Guergan, I Gruber, U Hoopmann, G Helms, C Roehm, J Pasternak, C Haupt, E Oberlechner and 3 more

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Article in Archives of gynecology and obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

M MeffertDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
B SchoenfischDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
S GuerganDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
I GruberDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
U HoopmannDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
G HelmsDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
C RoehmDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
J PasternakDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
C HauptDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
E OberlechnerDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
S Y BruckerDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
M HahnDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany.
B BoeerDepartment of Women's Health, University Hospital of Tuebingen, Calwerstraße 7, 72076, Tuebingen, Germany. bettina.boeer@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-5238-7521

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTumescent local anaesthesia (TLA) is an upcoming alternative to general anaesthesia. No data exists regarding patient satisfaction, necessary volume of TLA, frequency of supplementary analgosedation, and associated complication rate after different kinds of breast surgeries in TLA.

methodsIn this retrospective study 104 patients, who underwent breast surgery in TLA between 1/2022 and 1/2023, answered a questionnaire. Patients were categorized according to histology and surgical complexity into two groups: those with benign histology undergoing minor procedures (outpatients) and those with malignant histology undergoing more complex surgical procedures (inpatients). Perioperative data was retrieved from the patients' files.

results96.1% of all patients were (very) satisfied with the surgery, with inpatients being significantly more satisfied (p = 0.022). No significant differences were observed between the groups regarding perception of TLA-infiltration, likelihood of recommending the procedure in TLA, or willingness to undergo the procedure again in TLA. Six patients (5.8%) had postoperative complications with no significant difference in frequency of complications. Outpatients needed significantly less TLA-volume (184.7ml ± 131.4 ml), compared to inpatients with a total TLA-volume of 473.3 ml ± 205.2 ml (p < 0.001). 25 patients (24.0%) opted for an intraoperative midazolam sedation (mean 1.5 mg, SD 0.9mg), predominantly in more extensive procedures.

conclusionPatients' high satisfaction and recommendation level and the low rate of complications are convincing reasons to offer TLA as an alternative to general anaesthesia for a large spectrum of breast surgeries.

Indexed as

Anesthesia, LocalPatient SatisfactionAdultAgedAnesthetics, LocalBreast NeoplasmsFemaleHumansMiddle AgedPostoperative ComplicationsRetrospective StudiesSurveys and QuestionnairesAnesthetics, LocalBreast surgeryPatient satisfactionTumescent local anaesthesiaTumescent volume

Identifiers

PMID42470462
PMCPMC13380592

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.