Comparative Analysis of Anesthesia-Related Complications: Recovery Profiles, and Psychosocial Outcomes in Gynecomastia Surgery Local Anesthesia versus General Anesthesia.
DOI:
https://doi.org/10.63682/jns.v14i32S.9543Keywords:
Gynecomastia surgery, local anesthesia, general anesthesia, complications, recovery, psychosocial outcomesAbstract
Background: Gynecomastia, a condition characterized by the enlargement of breast tissue in males, can have significant physical and psychological implications for affected individuals. Surgical intervention is often sought to alleviate symptoms and improve quality of life. The choice of anaesthesia plays a crucial role in gynaecomastia surgery,having a great impact-in determining patient outcomes.The selection of anesthesia type can impact various aspects of patient care, including anesthesia-related complications, recovery profiles and psychosocial outcomes. Understanding the differences between local and general anesthesia in the context of gynecomastia surgery is essential for optimizing patient care and improving surgical outcomes.
Objective: This study aimed to compare anesthesia-related complications, recovery profiles, and psychosocial outcomes in patients undergoing gynecomastia surgery under local anesthesia versus general anesthesia.
Methods: This comparative cross-sectional analytical study was conducted at UA Aesthetics Clinic Lahore from March 2023 to January 2025. It included 153 male patients undergoing gynecomastia surgery. Patients were divided into two groups: Group A underwent surgery under local anesthesia with or without sedation (n=76), and Group B underwent surgery under general anesthesia (n=77). Data were collected on demographics and clinical characteristics, anesthesia-related complications, intraoperative and postoperative outcomes, and psychosocial parameters.
Results: Baseline characteristics were comparable between groups. Anesthesia-related complications were significantly higher in the general anesthesia group, including postoperative nausea and vomiting (14.3% vs. 3.9%), hemodynamic instability (11.7% vs. 2.6%), and airway-related sore throat (9.1% vs. 0%). Recovery outcomes favored local anesthesia, with earlier ambulation (2.4 ± 0.6 vs. 4.9 ± 1.1 hours, p<0.001), shorter hospital stay (0.9 ± 0.2 vs. 1.7 ± 0.4 days, p<0.001), and lower postoperative pain scores at all measured intervals. Psychosocial outcomes were positive in both groups, but local anesthesia patients reported higher early satisfaction (89.5% vs. 78.2%, p=0.04) and greater improvements in quality of life.
Conclusion: It is concluded that local anesthesia is a safer and more effective option than general anesthesia for gynecomastia surgery, offering fewer complications, faster recovery, and enhanced short-term psychosocial satisfaction..
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References
Khan U, Zain Bin Munir, Muhammad Haseeb, Zaid Ghafoor, Shawaiz Shabir, Rabia Javaid. POST OPERATIVE COMPLICATION RELATED TO ANESTHESIA IN LOWER RESOURCES SETUP. IJHR [Internet]. 2025 May 21 [cited 2025 Sep. 29];3(3 (Health & Allied):373-81. Available from: https://insightsjhr.com/index.php/home/article/view/876
Ali SS, Ahmed I, Khurram MF, Rehman N, Abhishek R. Gynecomastia surgery: liposuction alone versus endoscope-assisted glandular excision—A comparative study. Indian J Plast Surg. 2025.
Knoedler L, Knoedler S, Alfertshofer M, Hansen FJ, Schenck T, Sofo G, et al. Gynecomastia surgery in 4996 male patients over 14 years: a retrospective analysis of surgical trends, predictive risk factors, and short-term outcomes. Aesthetic Plast Surg. 2024;48(22):4642-50.
Belza CC, Blum JD, Neubauer D, Reid CM, Ortiz-Pomales YT, Lance SH. A retrospective review of arthroscopic shaver utilization in adolescent gynecomastia. Plast Reconstr Surg Glob Open. 2023;11(10):e5336.
Holzmer SW, Lewis PG, Landau MJ, Hill ME. Surgical management of gynecomastia: a comprehensive review of the literature. Plast Reconstr Surg Glob Open. 2020;8(10):e3161.
Sim N, Tan G, Tan BK, Goh T. Review of the microdebrider excision and liposuction technique (MELT) for the treatment of gynecomastia. J Plast Reconstr Aesthet Surg. 2020;73(2):303-12.
Rout SK. Aesthetic outcome of gynecomastia management with conventional liposuction and cross-chest liposuction: a prospective comparative study: Re: cross chest vs conventional liposuction in gynecomastia. Aesthetic Plast Surg. 2022;46(Suppl 1):57-8.
Prasetyono TOH, Budhipramono AG, Andromeda I, Komal K, et al. Liposuction-assisted gynecomastia surgery with minimal periareolar incision: a systematic review. Aesthetic Plast Surg. 2022;46(1):123-31.
Innocenti A, Melita D, Dreassi E. Incidence of complications for different approaches in gynecomastia correction: a systematic review of the literature. Aesthetic Plast Surg. 2022;46(3):1025-31.
Hoyos AE, Perez ME, Domínguez-Millán R. Gynecomastia treatment through open resection and pectoral high-definition liposculpture. Plast Reconstr Surg. 2021;147(5):1072-83.
Abdali H, Rasti M, Parsa MA, Seyedipour S, Tavakoli-Fard N. Liposuction versus periareolar excision approach for gynecomastia treatment. Adv Biomed Res. 2023;12(1):93.
Gökkaya A, Görgü M, Acuner B. Gynecomastia treatment with liposuction: clinical experience. Duzce Med J. 2020;22(1):17-22.
Zhenzhen L, Yichun D, Xiaojing L. Study on the clinical effects of liposuction and small incision gland resection for the treatment of gynecomastia. Altern Ther Health Med. 2023;29(5).
Tripathy S, Likhyani A, Sharma R, Sharma RK. Prospective analysis and comparison of periareolar excision (delivery) technique and pull-through technique for the treatment of gynecomastia. Aesthetic Plast Surg. 2020;44:653-61.
Yang Y, Mu D, Xu B, Li W, Zhang X, Lin Y, et al. Endoscopic subcutaneous mastectomy plus liposuction via a single axillary incision for gynecomastia in Asian patients: a report of 45 cases. Surgery. 2021;170(1):39-46.
Fu, G., Xu, L., Chen, H. et al. State-of-the-art anesthesia practices: a comprehensive review on optimizing patient safety and recovery. BMC Surg 25, 32 (2025). https://doi.org/10.1186/s12893-025-02763-6
Aragón-Benedí C, Oliver-Forniés P, Pascual-Bellosta A, Ortega-Lucea S, Ramírez-Rodriguez JM, Martínez-Ubieto J. Model for predicting early and late-onset postoperative pulmonary complications in perioperative patients receiving neuromuscular blockade: a secondary analysis. Sci Rep. 2023;13(1):5234.
Huang L, Huang X, Lin J, Yang Q, Zhu H. Incidence and risk factors of postoperative pulmonary complications following total hip arthroplasty revision: a retrospective Nationwide Inpatient Sample database study. J Orthop Surg Res. 2024;19(1):353.
Sung TY, Tennakoon L, Alobuia WM, Seib C, Cisco R, Lin D, et al. Factors associated with postoperative complications and costs for adrenalectomy in benign adrenal disorders. Surgery. 2022;171(6):1519-25.
Hadaya J, Benharash P. Extracorporeal membrane oxygenation. JAMA. 2020;323(24):2536...
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