PDF(Pubmed)
Abstract：
Males are frequently affected by gynecomastia, a benign proliferative glandular tissue condition of the breast. Gynecomastia is usually treated with surgery to remove breast tissue. Using erector spinae plane block and thoracic segmental spinal anaesthesia in place of typical general anaesthesia during breast procedures has become more common in recent years. This case report presents the management of a 24-year-old male with long-standing left breast gynecomastia. Using a combination of erector spinae plane block and thoracic segmental spinal anaesthesia, the patient had the breast tissue excised. The regulation of the neuroendocrine stress response, lower need for analgesics after surgery, and decreased postoperative nausea and vomiting are among the many benefits of the anaesthetic methods. With better patient outcomes, fewer surgical complications, and efficient postoperative pain management, these methods offer a compelling substitute for general anaesthesia. The range of surgical scenarios in which these techniques can be applied could be expanded by additional research and clinical experience.
摘要：
男性经常受到男性乳房发育症的影响，乳腺的良性增生性腺组织状况。男性乳房发育症通常通过手术切除乳房组织来治疗。近年来，在乳房手术过程中使用竖脊肌平面阻滞和胸段脊柱麻醉代替典型的全身麻醉变得越来越普遍。此病例报告介绍了一名24岁男性长期患有左乳房男性乳房发育症的治疗方法。使用竖脊肌平面阻滞和胸段脊柱麻醉的组合，患者切除了乳房组织。神经内分泌应激反应的调节，手术后对镇痛药的需求降低，术后恶心和呕吐的减少是麻醉方法的许多好处之一。有了更好的患者结果，更少的手术并发症，和有效的术后疼痛管理，这些方法为全身麻醉提供了令人信服的替代品。可以应用这些技术的手术方案的范围可以通过额外的研究和临床经验来扩展。
