The effect of high volume adrenalin solution infiltration on blood loss in reduction mammaplasty

Abstract

Aim: One of the important complications during and after the reduction mammoplasty operation is blood loss. The most implemented method to decrease the amount of bleeding is adrenaline infiltration, but adrenalin is mostly infiltrated with the fluid in the volume less than 250cc in the clinic. It is expected that adrenaline will accumulate more in the tissue and thus, exhibit more bleeding-reducing effect by increasing the fluid volume used in the infiltration. In this study, it is aimed to indicate the effect of the infiltration of adrenaline with the high volume fluid, on the amount of blood loss occurring due to the reduction mammoplasty operation. Material and Method: Patients who had undergone bilateral reduction mammoplasty between July 2013 and August 2017 were retrospectively examined. Patients not subjected to infiltration were described as Group 1, patients infiltrated with adrenalin 100cc were described as Group 2, and patients infiltrated with adrenalin 500cc were described as Group 3. Results: The average decrease in the hemoglobin level (bleeding) after the operation was calculated to be 3.4 +/- 0.97 in Group 1, 2.8 +/- 0.83 in Group 2, 1.0 +/- 0.46 in Group 3 and the average amount of bleeding in Group 2 and Group 3 in comparison with Group 1 and the average amount of bleeding in Group 3 in comparison with Group 2 were statistically significantly lower (p<0.001). Discussion: The infiltration of adrenaline in the same concentration with a fluid of a higher volume decreases blood loss after the reduction mammoplasty operation.