Breast surgery can be emotionally distressing and physically painful. Acute pain following surgery is often related mainly to the axillary surgery and is aggravated by arm and shoulder movement. We conducted a prospective double-blind, randomised, placebo-controlled trial to determine the influence of local anaesthetic irrigation of axillary wound drains on postoperative pain during the first 24 h following a modified Patey mastectomy (mastectomy with complete axillary node clearance). The treatment group received bupivacaine irrigation through the axillary wound drain 4-hourly for 24 h postoperatively. Controls received irrigation with normal saline. Morphine via a patient controlled analgesia pump was used for postoperative analgesia. Morphine consumption, visual analogue and verbal rating pain scores were recorded. There were no statistical differences in morphine requirements or pain scores between the two groups, nor were there differences in anti-emetic or supplemental analgesic consumption. Bupivacaine irrigation used in this manner does not appear to offer an effective contribution to postoperative analgesia.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/j.1365-2044.2004.03795.x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Debridement Technique for Single-Stage Revision Shoulder Arthroplasty.
JBJS Essent Surg Tech
January 2025
Shoulder and Elbow Service, Florida Orthopaedic Institute, Tampa, Florida.
Background: The incidence of revision shoulder arthroplasty continues to rise, and infection is a common indication for revision surgery. Treatment of periprosthetic joint infection (PJI) in the shoulder remains a controversial topic, with the literature reporting varying methodologies, including the use of debridement and implant retention, single-stage and 2-stage surgeries, antibiotic spacers, and resection arthroplasty. Single-stage revision has been shown to have a low rate of recurrent infection, making it more favorable because it precludes the morbidity of a 2-stage operation.
View Article and Find Full Text PDFHealing with Systematic Wound Management after Minimally Invasive Treatment of Axillary Osmidrosis.
Adv Skin Wound Care
October 2024
In the Plastic Surgery Department, China Japan Friendship Hospital, Beijing, China, Xiaogen Hu, MD; Chengyuan Wang, MD; and Cheng Sun, MD, are Physicians.
Axillary osmidrosis (AO), the condition of armpit smell, can be treated with minimally invasive techniques. However, patients may experience wound complications and a relatively long recovery period after operation. In this case series, the researchers investigated the effectiveness of systematic wound management for wound healing after minimally invasive treatment of AO.
View Article and Find Full Text PDFPartial agenesis of the pectoralis major and minor muscle: A cadaveric case report.
Medicine (Baltimore)
September 2024
Department of Morphology, Faculty of Medicine, Universidad Andrés Bello, Santiago, Chile.
Rationale: The pectoralis major and minor muscles, located in the anterior chest wall, are crucial for upper limb movements.
Patient Concerns: Their nonsyndromic absence is rare but significant for surgical procedures involving the axillary and pectoral regions.
Diagnoses: Ultrasound can confirm the diagnosis and delimit the extent of the muscular abnormality, detect abnormalities of the costal cartilages, among others.
Intramedullary Nailing Technique for Proximal Humeral Fractures Using a Straight Antegrade Nail with Locking Tuberosity Fixation.
JBJS Essent Surg Tech
August 2024
Western Orthopaedics, P.C., Denver, Colorado.
Article Synopsis
- Intramedullary straight nail fixation for proximal humeral fractures has several benefits over plating, including reduced soft-tissue damage, enhanced stability for complex fractures, and shorter surgery time for easier cases.
- The procedure involves positioning the patient in a beach-chair position, reducing the fracture using closed methods or percutaneously, and making a small incision near the acromioclavicular joint to insert a guide-pin for nail placement.
- After confirming the proper alignment via fluoroscopy, proximal and distal locking screws are inserted through a targeting jig, followed by irrigation and closure of the incision for postoperative care.
Intraoperative Hypertonic Saline Irrigation Preventing Seroma Formation in the Treatment of Axillary Bromhidrosis.
Aesthetic Plast Surg
September 2024
Department of Clinical Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221002, Jiangsu, China.
Purpose: Subcutaneous seroma formation (SF) is commonly seen after axillary bromhidrosis surgeries and its treatment can be challenging and long. Current prevention methods are not consistent, and the treatment includes repeated aspirations and drains, both are associated with higher risk for infections. The purpose of this article is to present a novel and simple technique of intraoperative hypertonic saline irrigation (IHSI) to axillary bromhidrosis subcutaneous dead space, which prevents postoperative SF and enables early drain removal due to reduced secretions.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!