Postoperative Pain Control by Intercostal Nerve Block After Augmentation Mammoplasty

Boccara, David; Picard, Frédéric; Chaouat, Marc; Mimoun, Maurice; Serror, Kévin

doi:10.1007/s00266-017-0990-0

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…Recently, the study by Caputo et al reported that prepectoral implant positioning improved the level of SS with breast appearance and reduced the intensity of immediate PP, which provides patients willing to receive IBBR an alternative for CPSP prevention 20 . Regional nerve blocks such as intercostal nerve blocks were reported to be an effective way to control immediate PP 21 , 22 , as severe PP was one of the risk factors of developing CPSP, so reginal nerve blocks might have potential effects in CPSP prevention.…”

Section: Discussionmentioning

confidence: 99%

Association between aesthetic satisfaction and chronic postsurgical pain in breast cancer patients treated with one stage prosthesis implantation

Wang

Gao

Wang

et al. 2022

Sci Rep

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This study retrospectively studied the incidence of chronic post-surgical pain (CPSP) following single-stage implant-based breast reconstruction (IBBR) and evaluated the possible risk factors. This was a retrospective cohort study, involving all patients undergoing single-stage IBBR between January and December 2019. The follow-up was completed between January and March 2021. The scores for satisfaction (SS) were based on the BREAST-Q, while the pain burden index (PBI) was used to assess the degree of CPSP. The questionnaires were completed by 159 patients. CPSP occurred in 48.43% of the patients, 2.52% of them being severe cases. Significant predictors for the development of CPSP in the univariate analysis included severe acute postoperative pain (PP), a history of preoperative chronic pain, psychological disorders, SS with the reconstructed breasts, and whether there were any regrets about having had the reconstruction. Multivariate analysis identified severe acute PP (odds ratio (OR) = 2.80, 95% confidence interval (CI) = 1.16–6.79, p = 0.023), a history of preoperative chronic pain (OR = 3.39, 95% CI = 1.42–8.10, p = 0.006), and the SS (OR = 0.86, 95% CI = 0.75–0.99, p = 0.034) as being independently associated with the development of CPSP. In subgroup analysis, the PBI of the patients in the SS < 12 group (p < 0.001), the bilateral group (p < 0.01), and the severe acute PP group (p < 0.005) was significantly higher than the PBI of those in the control groups. This study demonstrated a significant incidence of CPSP following single-stage IBBR, and the patients with lower SS of their reconstructed breasts developed more CPSP. Lower SS, bilateral procedures, and severe acute PP were predictors of higher PBI.Trial registration: Registered in Chictr.org.cn registry system on 24 February 2020 (ChiCTR2000030139).

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Section: Discussionmentioning

confidence: 99%

Association between aesthetic satisfaction and chronic postsurgical pain in breast cancer patients treated with one stage prosthesis implantation

Wang

Gao

Wang

et al. 2022

Sci Rep

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Erector Spinae Block to Reduce Pain After Reduction Mammoplasty: We Need More Evidence

Drennen

2019

Aesth Plast Surg

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A prospective study of multimodal cocktail intercostal injection for chest pain relief after costal cartilage harvest for ear reconstruction

Jiang,

Dong,

Shang

et al. 2023

Preprint

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Chest pain is one of the most common complaints after costal cartilage harvest.The present study aimed to compare the effectiveness of intraoperative area local injection after costal cartilage harvest when mixed drugs or ropivacaine plus analgesic pump is used, as measured by visual analogue scale (VAS) scores, rescue analgesic consumption, postoperative movement steps, and related complications. Eligible microtia patients who underwent costal cartilage harvest during ear reconstruction were randomly assigned to either a mixed drugs injection group (mixed drugs group) or ropivacaine plus analgesic pump group (analgesic pump group).The VAS scores in the mixed drugs group were significantly lower than those in the analgesic pump group at rest (p < 0.05) and the VAS scores in the mixed drugs group were significantly lower than those in the analgesic pump group during coughing (p < 0.05) before 96h after surgery. Rescue analgesic consumption and rate of complications were significantly lower in the mixed drugs group compared with the analgesic pump group (all p<0.05). Postoperative mobility of patients was significantly higher in the mixed drugs group compared with the analgesic pump group(p < 0.05).In conclusion, compared with ropivacaine plus analgesic pump, local injection of mixed drugs reduced chest pain after costal cartilage harvest for microtia ear reconstruction with less rescue analgesic consumption and complications, improved the postoperative movement steps of patients.

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Postoperative Pain Control by Intercostal Nerve Block After Augmentation Mammoplasty

Cited by 3 publications

References 2 publications

Association between aesthetic satisfaction and chronic postsurgical pain in breast cancer patients treated with one stage prosthesis implantation

Association between aesthetic satisfaction and chronic postsurgical pain in breast cancer patients treated with one stage prosthesis implantation

Erector Spinae Block to Reduce Pain After Reduction Mammoplasty: We Need More Evidence

A prospective study of multimodal cocktail intercostal injection for chest pain relief after costal cartilage harvest for ear reconstruction

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