Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgery

Thoracic paravertebral block (TPVB) is gaining popularity for female breast surgeries due to various advantages like less nausea and vomiting and better post-operative pain relief, which helps in early ambulation and discharge from the hospital. Use of nerve stimulator during this block has further...

Full description

Bibliographic Details
Main Author: Ashok Jadon
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=3;spage=298;epage=300;aulast=Jadon
_version_ 1818858509408665600
author Ashok Jadon
author_facet Ashok Jadon
author_sort Ashok Jadon
collection DOAJ
description Thoracic paravertebral block (TPVB) is gaining popularity for female breast surgeries due to various advantages like less nausea and vomiting and better post-operative pain relief, which helps in early ambulation and discharge from the hospital. Use of nerve stimulator during this block has further enhanced its success and safety profile. Male breast surgery is usually done either under general anaesthesia or local infiltrative anaesthesia combining with intravenous sedation. We postulated that the advantages of TPVB could be helpful for early mobilization and discharge of minor breast surgery in male patients. However, to our knowledge, there is no such report suggestive of TPVB for exclusive male breast surgery. We used nerve stimulator-guided TPVB for gynecomastia surgery in two patients where general anaesthesia was not feasible. Both patients had successful block and showed good post-operative recovery and were discharged on the same day. They had long post-operative pain relief without any block-related complication. A case report of two such cases of gynecomastia surgery (male breast surgery) done under TPVB is presented.
first_indexed 2024-12-19T08:57:25Z
format Article
id doaj.art-fec828ad5d8a4acbb5ef3ceddf71496e
institution Directory Open Access Journal
issn 0019-5049
language English
last_indexed 2024-12-19T08:57:25Z
publishDate 2012-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Anaesthesia
spelling doaj.art-fec828ad5d8a4acbb5ef3ceddf71496e2022-12-21T20:28:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492012-01-0156329830010.4103/0019-5049.98782Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgeryAshok JadonThoracic paravertebral block (TPVB) is gaining popularity for female breast surgeries due to various advantages like less nausea and vomiting and better post-operative pain relief, which helps in early ambulation and discharge from the hospital. Use of nerve stimulator during this block has further enhanced its success and safety profile. Male breast surgery is usually done either under general anaesthesia or local infiltrative anaesthesia combining with intravenous sedation. We postulated that the advantages of TPVB could be helpful for early mobilization and discharge of minor breast surgery in male patients. However, to our knowledge, there is no such report suggestive of TPVB for exclusive male breast surgery. We used nerve stimulator-guided TPVB for gynecomastia surgery in two patients where general anaesthesia was not feasible. Both patients had successful block and showed good post-operative recovery and were discharged on the same day. They had long post-operative pain relief without any block-related complication. A case report of two such cases of gynecomastia surgery (male breast surgery) done under TPVB is presented.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=3;spage=298;epage=300;aulast=JadonGynecomastiagynecomastia surgeryregional anaesthesiasurgery under thoracic paravertebral blockthoracic para vertebral block
spellingShingle Ashok Jadon
Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgery
Indian Journal of Anaesthesia
Gynecomastia
gynecomastia surgery
regional anaesthesia
surgery under thoracic paravertebral block
thoracic para vertebral block
title Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgery
title_full Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgery
title_fullStr Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgery
title_full_unstemmed Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgery
title_short Nerve stimulator-guided thoracic paravertebral block for gynecomastia surgery
title_sort nerve stimulator guided thoracic paravertebral block for gynecomastia surgery
topic Gynecomastia
gynecomastia surgery
regional anaesthesia
surgery under thoracic paravertebral block
thoracic para vertebral block
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=3;spage=298;epage=300;aulast=Jadon
work_keys_str_mv AT ashokjadon nervestimulatorguidedthoracicparavertebralblockforgynecomastiasurgery