Effects of combination Use of pectoral nerve block and serratus plane block on acute pain following breast reconstruction with a tissue expander: a prospective cohort study in Japan

Background There are still few studies which have addressed pain management in breast reconstruction in the acute phase. We conducted the current study in Japan to identify the effect of Pectoral Nerve Block Type II (PECS II) and Serratus Plane Block (SPB) for acute postoperative pain after tissue e...

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Bibliographic Details
Published in:European journal of plastic surgery 2024-08, Vol.47 (1), Article 87
Main Authors: Shiraishi, Makoto, Shiraishi, Akiko, Kodama, Takuya, Inafuku, Naoki, Sunaga, Ataru, Sowa, Yoshihiro
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Original Paper
Plastic Surgery
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Summary:Background There are still few studies which have addressed pain management in breast reconstruction in the acute phase. We conducted the current study in Japan to identify the effect of Pectoral Nerve Block Type II (PECS II) and Serratus Plane Block (SPB) for acute postoperative pain after tissue expander (TE) insertion. Methods Patients who underwent TE reconstruction from January 2016 to April 2017 were divided into groups treated with (LB) and without (Control) nerve block using levobupivacaine. Participants responded a questionnaire about acute postoperative pain for 7 days after operation. Results A total of 46 women participated in the study. On a visual scale analog (VAS) for pain at rest and during movement, pain intensity was significantly lower in the LB group than in the Control group on postoperative day (POD) 0 ( p  = 0.04, p  
ISSN:1435-0130
1435-0130
DOI:10.1007/s00238-024-02231-z