Eur J Plast Surg (2016) 39:273–278 DOI 10.1007/s00238-016-1195-5 ORIGINAL PAPER The use of a single local analgesics infusion in operation cavity following mastectomy and its effect on postoperative pain—a retrospective cohort study 1 1 Martin Sollie & Camilla Bille Received: 27 August 2015 /Accepted: 19 April 2016 /Published online: 30 April 2016 Springer-Verlag Berlin Heidelberg 2016 Abstract Infusion of analgesics in surgical cavities is simple, fast, and Background Pain following mastectomy often require use of low cost. It might prevent the often seen vicious cycle of opioids, drugs associated with a significant number of side nausea and impaired coping with postsurgical pain when pa- effects. This study investigated the effect of a single perioper- tients are introduced to opioids. ative infusion of bupivacaine in the mastectomy cavity on the Level of Evidence: Level III, therapeutic study. postoperative outcomes: use of opioids, pain score, and . . nausea. Keywords Local analgesics Mastectomy Postoperative . . . . Methods This retrospective cohort included 244 women un- pain OMEQ Oral morphine equivalents Infusion Breast dergoing mastectomies at the Odense University Hospital, . . . cancer Women Propensity Propensity score matching Denmark. Thirty-five patients received bupivacaine in the mastectomy cavity and were compared
European Journal of Plastic Surgery – Springer Journals
Published: Apr 30, 2016
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