Characteristics and distribution of chronic pain after mastectomy and breast reconstruction: a long-term prospective cohort study

Shiraishi, Makoto; Sowa, Yoshihiro; Tsuge, Itaru; Shiraishi, Akiko; Inafuku, Naoki; Morimoto, Naoki; Nakayama, Ichiro

doi:10.1007/s00595-023-02676-y

Cited by 2 publications

(1 citation statement)

References 42 publications

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“…43,44 Honkanen et al 36 compared the location of chronic pain following implant-based and autologous reconstruction and found no difference in pain between the reconstruction types. However, in similar but larger cohort studies, Shiraishi et al 45,46 found that patients who received autologous reconstruction reported more abdominal pain at postoperative year (POY) 1 (P < 0.001) and POY 5 (P = 0.04), and more upper medial breast pain at POY 5 (P = 0.01) compared to patients treated with mastectomy only. Abdominal pain can be caused by donor harvest, whereas pain in the upper medial breast may be due to rib removal 47 and damage to intercostal nerves in the search for internal mammary vessels.…”

Section: Location Of Chronic Painmentioning

confidence: 95%

Chronic Pain Following Breast Reconstruction

Shiraishi,

Sowa,

Inafuku

et al. 2024

Ann Plast Surg

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Background Breast cancer survival rates have increased significantly, underscoring the importance of enhancing long-term health-related quality of life. Breast reconstruction following mastectomy has emerged as a common approach that contributes to improved health-related quality of life. Nonetheless, chronic pain following breast reconstruction is a prevalent issue that has a negative impact on overall well-being. Methods To examine recent findings on chronic pain after breast reconstruction and progress in pain management, we performed a review of the literature through independent searches using the MEDLINE database within NIH National Library of Medicine PubMed. Results The review suggested that autologous reconstruction causes chronic postsurgical pain, especially at specific donor sites, whereas implant-based reconstruction does not seem to increase the risk of chronic pain. Moreover, certain operational and patient factors are also associated with chronic pain. Appropriate pain management can reduce chronic pain and prevent the transition from acute to chronic pain. Conclusion This scoping review evaluated the characteristics of long-term chronic pain after breast reconstruction. The findings provide patients with important treatment information and will assist with their decision on their preferred treatment.

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