Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With Capsulectomy
Abstract BackgroundDemand for breast implant removal is on the rise, with more than 36,000 ObjectivesThe authors sought to compare perioperative pain control between three different types of ultrasound (US)-guided regional anesthetic techniques in...
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| Format: | Article |
| Language: | English |
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Oxford University Press
2022-10-01
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| Series: | Aesthetic Surgery Journal Open Forum |
| Online Access: | https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac079 |
| _version_ | 1797955579367391232 |
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| author | Jacob Y Katsnelson David A Goodman Casey K Paterson Brian R Buinewicz |
| author_facet | Jacob Y Katsnelson David A Goodman Casey K Paterson Brian R Buinewicz |
| author_sort | Jacob Y Katsnelson |
| collection | DOAJ |
| description |
Abstract
BackgroundDemand for breast implant removal is on the rise, with more than 36,000
ObjectivesThe authors sought to compare perioperative pain control between three different types of ultrasound (US)-guided regional anesthetic techniques in patients undergoing implant removal with capsulectomy.
MethodsThe authors reviewed all patients who received an US-guided block and underwent breast implant removal with capsulectomy at their outpatient surgical center over a 2-year period. They compared intraoperative (IO), PO opioid requirement, and patient-reported pain on the first postoperative day (POD1) between 3 different block techniques using chi-square analysis. A P
ResultsA total of 352 patients were included. Twenty-six patients (7.4%) underwent a serratus plane (SP) block, 13 (3.7%) underwent an erector spinae combined with pectointercostal fascial plane (ES + PIFP) block, and 313 (88.9%) underwent an erector spinae combined with pectoral nerve (ES + PECS1) block. ES + PECS1 was associated with less IO and PO opioid use compared with SP and ES + PIFP (1.9% vs 19.2% vs 61.5%, PPP
ConclusionsRegional pain blocks, and specifically the ES block, offer effective pain control for patients undergoing breast implant removal with capsulectomy, demonstrating high patient satisfaction in the PO period with low opioid requirements.
Level of Evidence: 3
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| first_indexed | 2024-04-10T23:36:31Z |
| format | Article |
| id | doaj.art-cbed722f23da4cd79d7c0e5a77f72979 |
| institution | Directory Open Access Journal |
| issn | 2631-4797 |
| language | English |
| last_indexed | 2024-04-10T23:36:31Z |
| publishDate | 2022-10-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Aesthetic Surgery Journal Open Forum |
| spelling | doaj.art-cbed722f23da4cd79d7c0e5a77f729792023-01-11T17:28:44ZengOxford University PressAesthetic Surgery Journal Open Forum2631-47972022-10-01410.1093/asjof/ojac079Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With CapsulectomyJacob Y Katsnelson0https://orcid.org/0000-0002-0216-2199David A Goodman1Casey K Paterson2Brian R Buinewicz3Resident physiciansAnesthesiologist, Department of Anesthesia, Abington Memorial Hospital-Jefferson Health, Abington, PA, USAResident physiciansPlastic surgeon, Department of Surgery, Abington Memorial Hospital-Jefferson Health, Abington, PA, USA Abstract BackgroundDemand for breast implant removal is on the rise, with more than 36,000 ObjectivesThe authors sought to compare perioperative pain control between three different types of ultrasound (US)-guided regional anesthetic techniques in patients undergoing implant removal with capsulectomy. MethodsThe authors reviewed all patients who received an US-guided block and underwent breast implant removal with capsulectomy at their outpatient surgical center over a 2-year period. They compared intraoperative (IO), PO opioid requirement, and patient-reported pain on the first postoperative day (POD1) between 3 different block techniques using chi-square analysis. A P ResultsA total of 352 patients were included. Twenty-six patients (7.4%) underwent a serratus plane (SP) block, 13 (3.7%) underwent an erector spinae combined with pectointercostal fascial plane (ES + PIFP) block, and 313 (88.9%) underwent an erector spinae combined with pectoral nerve (ES + PECS1) block. ES + PECS1 was associated with less IO and PO opioid use compared with SP and ES + PIFP (1.9% vs 19.2% vs 61.5%, PPP ConclusionsRegional pain blocks, and specifically the ES block, offer effective pain control for patients undergoing breast implant removal with capsulectomy, demonstrating high patient satisfaction in the PO period with low opioid requirements. Level of Evidence: 3 https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac079 |
| spellingShingle | Jacob Y Katsnelson David A Goodman Casey K Paterson Brian R Buinewicz Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With Capsulectomy Aesthetic Surgery Journal Open Forum |
| title | Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With Capsulectomy |
| title_full | Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With Capsulectomy |
| title_fullStr | Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With Capsulectomy |
| title_full_unstemmed | Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With Capsulectomy |
| title_short | Regional Pain Blocks and Perioperative Pain Control in Patients Undergoing Breast Implant Removal With Capsulectomy |
| title_sort | regional pain blocks and perioperative pain control in patients undergoing breast implant removal with capsulectomy |
| url | https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac079 |
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