首页> 外文期刊>Annals of surgical oncology >Local Infiltration of Liposomal Bupivacaine for Pain Control in Patients Undergoing Mastectomy with Immediate Tissue Expander Reconstruction
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Local Infiltration of Liposomal Bupivacaine for Pain Control in Patients Undergoing Mastectomy with Immediate Tissue Expander Reconstruction

机译:脂质体布比卡因局部浸润以控制乳房切除术并立即组织扩张器重建的患者

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摘要

Mastectomy with immediate tissue expander reconstruction is associated with postoperative pain, nausea, and vomiting. Various techniques of perioperative and postoperative pain control have been described. Our standard of care for postsurgical pain management in patients undergoing mastectomy with immediate tissue expander reconstruction has been preoperative ultrasound-guided paravertebral block. Recent literature demonstrating the opioid-sparing benefits of liposomal bupivacaine has directed two of our plastic surgeons to pilot its use in immediate tissue expander reconstruction. In the accompanying video, we present our technique of intraoperative local infiltration of liposomal bupivacaine into the base of mastectomy skin flaps, serratus fascia, and periaxillary tissue after completion of the mastectomy and before tissue expander placement into the reconstruction pocket.
机译:立即组织扩张器重建的乳房切除术与术后疼痛,恶心和呕吐相关。已经描述了围手术期和术后疼痛控制的各种技术。术前超声引导下椎旁阻滞是我们进行乳房切除术并立即进行组织扩张器重建的患者术后疼痛管理的标准护理。证明脂质体布比卡因具有阿片类药物保护作用的最新文献已指导我们的两名整形外科医生尝试将其用于立即的组织扩张器重建。在随附的视频中,我们介绍了在乳房切除术完成后,组织扩张器放入重建袋中之前,术中局部脂质体布比卡因浸润到乳房切除术皮瓣,锯缘筋膜和腋周组织底部的技术。

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