Efficacy of pocket irrigation with bupivacaine and ketorolac in breast augmentation: a randomized controlled trial

Annals of Plastic Surgery
Colleen McCarthyDavid A Hidalgo

Abstract

Breast augmentation is the most common cosmetic surgery procedure performed in the United States. The optimal approach to postoperative pain management in these patients, however, has yet to be determined. The objective of this study was to investigate the efficacy of pocket irrigation with bupivacaine and ketorolac in reducing pain, narcotic use, and methocarbamol use following subpectoral breast augmentation. A prospective, double-blinded, randomized trial was performed. Fifty primary breast augmentation patients were randomized to 1 of 2 treatment groups: 1) pocket irrigation with bupivacaine and ketorolac, and 2) no pocket irrigation. Patients who received pocket irrigation had significantly lower Visual Analog Pain Scores in the early postoperative period (1 and 6 hours postoperatively). There was no difference in early postoperative narcotic use in patients who received pocket irrigation and those who did not. Patients who received pocket irrigation, however, reported higher narcotic use at 1-3 days following surgery. There was no difference in postoperative methocarbamol use between patient groups. This study suggests that pocket irrigation with bupivacaine and ketorolac can significantly decrease patient-reported pain i...Continue Reading

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Citations

Dec 3, 2010·Plastic and Reconstructive Surgery·Charles H Thorne
Oct 8, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Sebastian WinocourValerie Lemaine
Apr 1, 2015·Aesthetic Surgery Journal·Diana M StephensHoward N Langstein
Oct 25, 2017·Plastic and Reconstructive Surgery. Global Open·Anoushka M AfonsoJeffrey C Gadsden
Sep 27, 2018·Plastic and Reconstructive Surgery·Brian P KelleyJennifer F Waljee
Sep 13, 2017·Bulletin of Entomological Research·A K BarmanR Srinivasan
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Eric Swanson
Mar 29, 2014·Plastic and Reconstructive Surgery·David A Hidalgo, Jason A Spector
May 6, 2019·Aesthetic Surgery Journal·Ryan E AustinJamil Ahmad
Aug 24, 2012·Aesthetic Surgery Journal·Sharon S StanleyFrank S Ciminello
Jun 26, 2012·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Jean DesrochesDetlev Grabs
May 1, 2018·Plastic and Reconstructive Surgery. Global Open·Jouseph O BarkhoAchilleas Thoma
Jun 21, 2018·Plastic and Reconstructive Surgery. Global Open·Héctor César Durán-VegaIván Arturo Arellano Silva

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