Surgical excision of the breast giant fibroadenoma under regional anesthesia by Pecs II and internal intercostal plane block: a case report and brief technical description: a case report

• Main Authors: Hyungtae Kim, Junho Shim, Ikthae Kim
• Format: Article
• Language: English
• Published: Korean Society of Anesthesiologists 2017-02-01
• Series: Korean Journal of Anesthesiology
• Subjects: pecs block; regional anesthesia; segmental mastectomy; thoracic nerves
• Online Access: http://ekja.org/upload/pdf/kjae-70-77.pdf

A 22-years-old female patient at 171 cm and 67 kg visited the Department of Breast Surgery of the hospital with a mass accompanied with pain on the left side breast as chief complaints. Since physical examination revealed a suspected huge mass, breast surgeon decided to perform surgical excision and requested anesthesia to our department. Surgery of breast tumor is often under local anesthesia. However, in case of big size tumor, surgery is usually performed under general anesthesia. The patient feared general anesthesia. Unlike abdominal surgery, there is no need to control visceral pain for breast and anterior thoracic wall surgery. Therefore, we decided to perform resection under regional anesthesia. Herein, we report a successful anesthetic and pain management of the patient undergoing excision of a huge breast fibroadenoma under regional anesthesia using Pecs II and internal intercostal plane block.