METHOD FOR ANAESTHESIA IN EXTENDED PARTIAL MASTECTOMY WITH AXILLARY-SUBCAPULAR LYMPHADENECTOMY IN SENIOR PATIENTS Russian patent published in 2015 - IPC A61M19/00 A61B17/00 A61K31/167 A61P23/02 

FIELD: medicine.

SUBSTANCE: after a surgical site has been treated from three points at a breast base: superior internal and superior external, superior and inferior external, inferior external and inferior internal quadrants junctions, the skin is infiltrated with 0.25% Novocaine solution. Further, a long needle is used to inject 0.25% Novocaine 40 ml from the marked points into the retromammary space on either side. Besides, from the fourth point: axillary subcutaneous fat is infiltrated along a border of a greater pectoral muscle with smoothly changing the needle direction. That is followed by the infiltration anaesthesia of the skin and underlying tissues along the outline of the quadrant to be removed. What is also required is a Novocaine block of separated thoracodorsal nerve and long thoracic nerve.

EFFECT: enabling the lymphadenectomy with no general anaesthesia required, which is ensured by the infiltration anaesthesia combined the retromammary Novocaine block and the additional anaesthesia of the thoracodorsal nerve and long thoracic nerve.

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