Background: Breast surgery is mostly done under general anesthesia, although regional anesthesia in the form of peripheral nerve blocks and epidural anesthesia has also been used. The aim is to present this case in which mid-thoracic segmental spinal anesthesia was used for excision of the breast tumor. Method: A 28 years old ASA grade I female patient was given mid-thoracic segmental spinal anesthesia for excision of phylloid tumour of the breast. Adequate analgesia was achieved from T2-T12. One episode of bradycardia was treated with Atropine injection. Result: Adequate analgesia, stable hemodynamics, no nausea or vomiting, less analgesic requirement, early ambulation, cost effective and high patient satisfaction level.
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