[The effect of thoracic paravertebral block on seroma reduction in breast surgery - a randomized controlled trial].

Revista brasileira de anestesiologia
Alparslan KuşYavuz Gürkan

Abstract

Increasing number of patients are being operated because of breast cancer. Seroma is the most common problem that occurs after surgery that increases morbidity. For postoperative pain management, Thoracic Paravertebral Block (TPVB) has long been considered the gold standard technique. With performing TPVB, sympathetic nerves are also blocked. With this study, we aimed to search the effect of TPVB on seroma reduction in patients who undergo mastectomy and axillary node dissection surgery. Forty ASA I-II female patients aged 18-65, who were scheduled to go under elective unilateral mastectomy and axillary lymph node resection were included to the study. Patients were randomized into two groups as TPVB and control group. Ultrasound guided TPVB with 20 mL 0.25% bupivacaine was performed at T1 level preoperatively to the TPVB group patients. All patients were provided with i.v. patient-controlled analgesia device. Seroma formation amounts, morphine consumptions and Numeric Rating Scale (NRS) scores for pain were recorded 24th hour postoperatively. Mean seroma formation at postoperative 24th hour was 112.5±53.3 mL in the control group and 74.5±47.4 mL in the TPVB group (p=0.022). NRS scores were similar between two groups (p=0.367) a...Continue Reading

References

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Mar 9, 2017·Regional Anesthesia and Pain Medicine·Samir BaigHariharan Shankar
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May 15, 2018·Clinical Breast Cancer·Britt Ten WoldeLuc J A Strobbe
Sep 10, 2018·Archives of Gynecology and Obstetrics·Florian EbnerNikolaus de Gregorio

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