Intraoperative instillation of ropivacaine during the placement of sub-muscular cosmetic breast implants: Is there a clinical benefit?

Picard, Frédéric; Niddam, Jérémy; Runz, Antoine De; Chaouat, Marc; Mimoun, Maurice; Boccara, David

doi:10.1016/j.anplas.2017.07.012

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…BREAST AUGMENTATION Gardiner et al , [ 24 ] 2012 SB-RCT Australia,? 40 BA Sedation PVB Picard et al , [ 25 ] 2017 SB-RCT France,? 72 BA ?…”

Section: Resultsmentioning

confidence: 99%

“…Regional anesthetic techniques were performed in two studies: PVB in Gardiner et al [ 24 ] ; association of Pecs type II and PSB in Schuitemaker et al [ 26 ] . In the other study, Picard et al [ 25 ] , a local infiltration was performed.…”

Section: Resultsmentioning

confidence: 99%

“…In both studies patients received fentanyl. Picard et al [ 25 ] did not report the anesthesia protocol.…”

Section: Resultsmentioning

confidence: 99%

“…Reasons for this may be attributable to subtle variations in surgical technique and differences in anesthetic and analgesic regimens. Second, for 3 studies included in this review ( Campbell et al 2014 [ 10 ], Lanier et al 2018 and Picard et al [ 25 ] ), it is not possible to assess whether only regional anesthesia for breast surgery was performed. The impact of locoregional anesthesia on nociception as a “pure” or “adjuvant” technique is different, notably because of the different dosage of local anesthetics.…”

Section: Discussionmentioning

confidence: 99%

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What is the role of locoregional anesthesia in breast surgery? A systematic literature review focused on pain intensity, opioid consumption, adverse events, and patient satisfaction

et al. 2020

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Background Breast surgery in the United States is common. Pain affects up to 50% of women undergoing breast surgery and can interfere with postoperative outcomes. General anesthesia is the conventional, most frequently used anaesthetic technique. Various locoregional anesthetic techniques are also used for breast surgeries. A systematic review of the use of locoregional anesthesia for postoperative pain in breast surgery is needed to clarify its role in pain management. Objectives To systematically review literature to establish the efficacy and the safety of locoregional anesthesia used in the treatment of pain after breast surgery. Methods Embase, MEDLINE, Google Scholar and Cochrane Central Trials Register were systematically searched in Mars 2020 for studies examining locoregional anesthesia for management of pain in adults after breast surgery. The methodological quality of the studies and their results were appraised using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist and specific measurement properties criteria, respectively. Results Nineteen studies evaluating locoregional anesthesia were included: 1058 patients underwent lumpectomy/mastectomy, 142 breast augmentation and 79 breast reduction. Locoregional anesthesia provides effective anesthesia and analgesia in the perioperative setting, however no statistically significant difference emerged if compared to other techniques. For mastectomy only, the use of locoregional techniques reduces pain in the first hour after the end of the surgery if compared to other procedures (p = 0.02). Other potentially beneficial effects of locoregional anesthesia include decreased need for opioids, decreased postoperative nausea and vomiting, fewer complications and increased patient satisfaction. All this improves postoperative recovery and shortens hospitalization stay. In none of these cases, locoregional anesthesia was statistically superior to other techniques. Conclusion The results of our review showed no differences between locoregional anesthesia and other techniques in the management of breast surgery. Locoregional techniques are superior in reducing pain in the first hour after mastectomy.

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“…BREAST AUGMENTATION Gardiner et al , [ 24 ] 2012 SB-RCT Australia,? 40 BA Sedation PVB Picard et al , [ 25 ] 2017 SB-RCT France,? 72 BA ?…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…In both studies patients received fentanyl. Picard et al [ 25 ] did not report the anesthesia protocol.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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What is the role of locoregional anesthesia in breast surgery? A systematic literature review focused on pain intensity, opioid consumption, adverse events, and patient satisfaction

et al. 2020

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“…The surgical procedures performed in the reviewed trials included lumpectomy or mastectomy in 14 of trials, [10][11][12][13][14][15][16][17][18][19][20][21][22][23] with additional Sentinel Lymph Node Biopsy (SLNB) or Axillary Lymph Node Dissection (ALND). 10, 12, 14-18, 20-21, 23 Three trials included patients undergoing breast augmentation, [24][25][26] and two trials also included patients undergoing breast reduction. [27][28] The 19 randomized controlled trials involved a total of 1307 patients, of which 749 received nerve blocks, 330 received local in ltration, 115 received IV lidocaine, 73 received infusion of local anesthetic via pump, and 40 received tumescent anesthesia.…”

Section: Resultsmentioning

confidence: 99%

What is the role of locoregional anesthesia in breast surgery? A systematic literature review focused on pain intensity, opioid consumption, adverse events, and patient satisfaction.

Sansone

Giaccari

Faenza

et al. 2020

Preprint

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Background: Breast surgery in the United States is common. Pain affects up to 50% of women undergoing breast surgery and can interfere with postoperative outcomes. General anesthesia is the conventional, most frequently used anaesthetic technique. Various locoregional anesthetic techniques are also used for breast surgeries. A systematic review of the use of locoregional anesthesia for postoperative pain in breast surgery is needed to clarify its role in pain management.Objectives: To systematically review literature to establish the efficacy and the safety of locoregional anesthesia used in the treatment of pain after breast surgery.Methods: Embase, MEDLINE, Google Scholar and Cochrane Central Trials Register were systematically searched in Mars 2020 for studies examining locoregional anesthesia for management of pain in adults after breast surgery. The methodological quality of the studies and their results were appraised using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist and specific measurement properties criteria, respectively.Results: Nineteen studies evaluating locoregional anesthesia were included: 1058 patients underwent lumpectomy/mastectomy, 142 breast augmentation and 79 breast reduction. Locoregional anesthesia provides effective anesthesia and analgesia in the perioperative setting, however no statistically significant difference emerged if compared to other techniques. For mastectomy only, the use of locoregional techniques reduces pain in the first hour after the end of the surgery if compared to other procedures (p = 0.02). Other potentially beneficial effects of locoregional anesthesia include decreased need for opioids, decreased postoperative nausea and vomiting, fewer complications and increased patient satisfaction. All this improves postoperative recovery and shortens hospitalization stay. In none of these cases, locoregional anesthesia was statistically superior to other techniques.Conclusion: The results of our review showed no differences between locoregional anesthesia and other techniques in the management of breast surgery. Locoregional techniques are superior in reducing pain in the first hour after mastectomy.

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Nouvelle stratégie chirurgicale dans les mastectomies bilatérales prophylactiques avec reconstruction par prothèses chez les patientes présentant une mutation du gène BRCA

Deveaux

Calibre

Duquennoy-Martinot

et al. 2020

Annales de Chirurgie Plastique Esthétique

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Intraoperative instillation of ropivacaine during the placement of sub-muscular cosmetic breast implants: Is there a clinical benefit?

Cited by 4 publications

References 11 publications

What is the role of locoregional anesthesia in breast surgery? A systematic literature review focused on pain intensity, opioid consumption, adverse events, and patient satisfaction

What is the role of locoregional anesthesia in breast surgery? A systematic literature review focused on pain intensity, opioid consumption, adverse events, and patient satisfaction

What is the role of locoregional anesthesia in breast surgery? A systematic literature review focused on pain intensity, opioid consumption, adverse events, and patient satisfaction.

Nouvelle stratégie chirurgicale dans les mastectomies bilatérales prophylactiques avec reconstruction par prothèses chez les patientes présentant une mutation du gène BRCA

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