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The injection of the breast for operations under local anesthesia has not always been easy. Some breasts are small enough so that they can be held in the anesthetist's hand and readily injected. Others, however, are so large and unwieldy that they cannot be easily injected. It is particularly for these cases that the technic described here is used. It is seldom used, for instance, in operating on a male breast.
The breast and nearby skin are prepared surgically. The breast is held between the hands of the assistant and elevated so that the outline of the base is changed from round to elliptic. When an assistant is not available, a clamp or handle may be used (Fig. 1) made of pliable, firm metal which can be easily bent, in a moment, to hold a breast in the correct shape, and without pain to the patient. When the clamp is
Lundy JS. AN EASY METHOD OF INDUCING LOCAL ANESTHESIA FOR SIMPLE AMPUTATION OF THE BREAST. JAMA. 1925;85(11):824. doi:10.1001/jama.1925.26710110001011
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