Does a continuous local anaesthetic pain treatment after immediate tissue expander reconstruction in breast carcinoma patients more efficiently reduce acute postoperative pain - a prospective randomised study

World Journal of Surgical Oncology

Volumn 12, Issue 1, 2014, Pages

  Strazisar, Branka ^a   Besic, Nikola ^a   Ahcan, Uros ^b  

^a INSTITUTE OF ONCOLOGY   (Slovenia)

^b UNIVERSITY MEDICAL CENTRE LJUBLJANA   (Slovenia)

Author keywords

Breast carcinoma; Elastomeric pump; Pain treatment; Primary reconstruction with tissue expander; Wound infusion of local anaesthetic

Indexed keywords

DICLOFENAC; DIPYRONE; DROPERIDOL; GRANISETRON; LEVOBUPIVACAINE; METOCLOPRAMIDE; OPIATE; PARACETAMOL; PIRITRAMIDE; TRAMADOL;

ADULT; ARM EDEMA; ARTICLE; BODY HEIGHT; BODY MASS; BODY WEIGHT; BREAST CARCINOMA; BREAST TISSUE EXPANDER; CANCER ADJUVANT THERAPY; CANCER HORMONE THERAPY; CANCER RADIOTHERAPY; CANCER STAGING; CANCER SURGERY; CONTINUOUS INFUSION; CONTROLLED STUDY; CYTOLOGY; HEMATOMA; HUMAN; LENGTH OF STAY; LOCAL ANESTHESIA; LYMPHEDEMA; MAJOR CLINICAL STUDY; MAXIMUM TOLERATED DOSE; NAUSEA AND VOMITING; OPERATION DURATION; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE COMPLICATION; POSTOPERATIVE INFLAMMATION; POSTOPERATIVE NAUSEA; POSTOPERATIVE PAIN; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SENTINEL LYMPH NODE BIOPSY; SURGICAL DRAINAGE; VISUAL ANALOG SCALE; WOUND CLOSURE;

ACUTE DISEASE; AGED; ANESTHETICS, LOCAL; BREAST NEOPLASMS; CARCINOMA, DUCTAL, BREAST; CARCINOMA, INTRADUCTAL, NONINFILTRATING; CARCINOMA, LOBULAR; CASE-CONTROL STUDIES; CATHETERS, INDWELLING; FEMALE; FOLLOW-UP STUDIES; HUMANS; LYMPHATIC METASTASIS; MAMMAPLASTY; MASTECTOMY; MIDDLE AGED; NEOPLASM GRADING; NEOPLASM STAGING; PAIN, POSTOPERATIVE; POSTOPERATIVE COMPLICATIONS; PROGNOSIS; PROSPECTIVE STUDIES; TISSUE EXPANSION DEVICES;

EID: 84892424655     PISSN: None     EISSN: 14777819     Source Type: Journal    
DOI: 10.1186/1477-7819-12-16     Document Type: Article

References (34)

1. WHO Breast cancer: prevention and control. [http://www.who.int/cancer/detection/breastcancer/en/index.html]. Accessed 17 November 2012, WHO.
2. Yip CH, Smith RA, Anderson BO, Miller AB, Thomas DB, Ang ES, Caffarella RS, Corbex M, Kreps GL, McTiernan A. Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the Breast Health Global Initiative Global Summit 2007. Cancer 2008, 113(8 suppl):2221-2243.
3. Cordeiro PG. Breast Reconstruction after Surgery for Breast Cancer. N Engl J Med 2008, 359:1590-1601. 10.1056/NEJMct0802899, 18843123.
4. Garcia-Etienne CA, Forcellini D, Sagona A, Caviggioli F, Barbieri E, Cornegliani G, Giannasi S, Tinterri C. Breast reconstruction: a quality measure for breast cancer care?. Breast 2012, 21:105-106. 10.1016/j.breast.2011.08.133, 21890360.
5. Spear SL, Spittler CJ. Breast reconstruction with implants and expanders. Plast Reconstr Surg 2001, 107:177-187. 10.1097/00006534-200101000-00029, 11176621.
6. Legeby M, Segerdahl M, Sandelin K, Wickman M, Ostman K, Olofsson C. Immediate reconstruction in breast cancer surgery requires intensive post-operative pain treatment but the effects of axillary dissection may be more predictive of chronic pain. Breast 2002, 11:156-162. 10.1054/brst.2001.0386, 14965663.
7. Rawal N, Gupta A, Helsing M, Grell K, Allvin R. Pain relief following breast augmentation surgery: a comparison between incisional patient-controlled regional analgesia and traditional oral analgesia. Eur J Anaesthesiol 2006, 23:1010-1017. 10.1017/S0265021506000883, 16780618.
8. Legeby M, Jurell G, Beausang-Linder M, Olofsson C. Placebo-controlled trial of local anaesthesia for treatment of pain after breast reconstruction. Scand J Plast Reconstr Surg Hand Surg 2009, 43:315-319. 10.1080/02844310903259108, 19995249.
9. Turan Z, Sandelin K. Local infiltration of anaesthesia with subpectoral indwelling catheters after immediate breast reconstruction with implants: a pilot study. Scand J Plast Reconstr Surg Hand Surg 2006, 40:136-139. 10.1080/02844310500475784, 16687332.
10. Lu L, Fine NA. The efficacy of continuous local anesthetic infiltration in breast surgery: reduction mammaplasty and reconstruction. Plast Recronstr Surg 2005, 115:1927-1934.
11. Schell SR. Patient outcomes after axillary lymph node dissection for breast cancer: use of postoperative continuous local anesthesia infusion. J Surg Res 2006, 134:124-132. 10.1016/j.jss.2005.11.571, 16488434.
12. Jacobs VR, Morrison JE. Application of a locally placed anesthesia catheter for reduction of postoperative pain after mastectomy for breast cancer. Int J Fertil Womens Med 2006, 51:225-229.
13. Fassoulaki A, Triga A, Melemeni A, Sarantopoulos C. Multimodal analgesia with gabapentin and local anesthetics prevents acute and chronic pain after breast surgery for cancer. Anesth Analg 2005, 101:1427-1432. 10.1213/01.ANE.0000180200.11626.8E, 16244006.
14. Strazisar B, Besic N. Comparison of continuous local anaesthetic and systemic pain treatment after axillary lymphadenectomy in breast carcinoma patients - a prospective randomized study. Radiol Oncol 2013, 47:145-153. 3691083, 23801911.
15. Leone S, Di Cianni S, Casati A, Fanelli G. Pharmacology, toxicology, and clinical use of new long acting local anesthetics, ropivacaine and levobupivacaine. Acta Biomed 2008, 79:92-105.
16. Wood D, Baric A, Rudkin G, Pescod D. Acute&Chronic Pain Management. [http://www.developinganaesthesia.org/uploads/1/1/9/5/11950500/pain_seminar_.pdf]. Accessed 21 December 2013.
17. Pacik PT. Pain management in augmentation mammaplasty: a randomized, comparative study of the use of a continuous infusion versus self-administration intermittent bolus of a local anesthetic. Aesthetic Surg J 2004, 24:523-530.
18. Talbot H, Hutchinson SP, Edbrooke DL, Wrench I, Kohlhardt SR. Evaluation of a local anaesthesia regimen following mastectomy. Anaesthesia 2004, 59:664-667. 10.1111/j.1365-2044.2004.03795.x, 15200541.
19. Chernik DA, Gillings D, Laine H, Hendler J, Silver JM, Davidson AB, Schwam EM, Siegel JL. Validity and reliability of the Observer's Assessment of Alertness/Sedation Scale: study with intravenous midazolam. J Clin Psychopharmacol 1990, 10:244-251.
20. McCarthy CM, Pusic AL, Hidalgo DA. Efficacy of pocket irrigation with bupivacaine and ketorolac in breast augmentation: a randomized controlled trial. Ann Plast Surg 2009, 62:15-17. 10.1097/SAP.0b013e31817e9c5b, 19131712.
21. Rawal N, Axelsson K, Hylander J, Allvin R, Amilon A, Lidegran G, Hallén J. Postoperative patient-controlled local anesthetic administration at home. Anesth Analg 1998, 86:86-89.
22. Pacik PT, Nelson CE, Werner C. Pain control in augmentation mammaplasty using indwelling catheters in 687 consecutive patients: data analysis. Aesthetic Surg J 2008, 28:631-641.
23. Mahabir RC, Peterson BD, Williamson JS, Valnicek SM, Williamson DG, East WE. Locally administered ketorolac and bupivacaine for control of postoperative pain in breast augmentation patients. Plast Reconstr Surg 2004, 114:1910-1916. 10.1097/01.PRS.0000142996.50331.2C, 15577367.
24. Mahabir RC, Peterson BD, Williamson JS, Valnicek SM, Williamson DG, East WE. Locally administered ketorolac and bupivacaine for control of postoperative pain in breast augmentation patients: part II. 10-day follow-up. Plast Reconstr Surg 2008, 121:638-643. 10.1097/01.prs.0000298112.52389.e1, 18300985.
25. Gottschalk A, Burmeister MA, Radtke P, Krieg M, Farokhzad F, Kreissl S, Strauss M, Standl T. Continuous wound infiltration with ropivacaine reduces pain and analgesic requirement after shoulder surgery. Anesth Analg 2003, 97:1086-1091.
26. Vintar N, Rawal N, Veselko M. Intraarticular patient-controlled regional anesthesia after arthroscopically assisted anterior cruciate ligament reconstruction: ropivacaine/morphine/ketorolac versus ropivacaine/morphine. Anesth Analg 2005, 101:573-578. 10.1213/01.ANE.0000158608.27411.A9, 16037178.
27. Beaussier M, El'Ayoubi H, Schiffer E, Rollin M, Parc Y, Mazoit JX, Azizi L, Gervaz P, Rohr S, Biermann C, Lienhart A, Eledjam JJ. Continuous preperitoneal infusion of ropivacaine provides effective analgesia and accelerates recovery after colorectal surgery: a randomized, double-blind, placebo-controlled study. Anesthesiology 2007, 107:461-468. 10.1097/01.anes.0000278903.91986.19, 17721249.
28. Fredman B, Shapiro A, Zohar E, Feldman E, Shorer S, Rawal N, Jedeikin R. The analgesic efficacy of patient-controlled ropivacaine instillation after cesarean delivery. Anesth Analg 2000, 91:1436-1440. 10.1097/00000539-200012000-00025, 11093995.
29. White PF, Rawal S, Latham P, Markowitz S, Issioui T, Chi L, Dellaria S, Shi C, Morse L, Ing C. Use of a continuous local anesthetic infusion for pain management after median sternotomy. Anesthesiology 2003, 99:918-923. 10.1097/00000542-200310000-00026, 14508326.
30. Fisher A, Meller Y. Continuous postoperative regional analgesia by nerve sheath block for amputation surgery: a pilot study. Anesth Analg 1991, 72:300-303.
31. Sakuragi T, Ishino H, Dan K. Bactericidal activity of clinically used local anesthetics on Staphylococcus aureus. Reg Anesth 1996, 21:239-242.
32. Stratford AF, Zoutman DE, Davidson JSD. Effect of lidocaine and epinephrine on Staphylococcus aureus in a guinea pig model of surgical wound infection. Plast Reconstr Surg 2002, 110:1275-1279. 10.1097/00006534-200210000-00010, 12360067.
33. Parr AM, Zoutman DE, Davidson JSD. Antimicrobial activity of lidocaine against bacteria associated with nosocomial wound infection. Ann Plast Surg 1999, 43:239-245. 10.1097/00000637-199909000-00003, 10490173.
34. Tasmuth T, Von Smitten K, Hietanen P, Kataja M, Kalso E. Pain and other symptoms after different treatment modalities of breast cancer. Ann Oncol 1995, 6:453-459.