Patient Outcomes After Axillary Lymph Node Dissection for Breast Cancer: Use of Postoperative Continuous Local Anesthesia Infusion

A Randomized Trial of Bupivicaine Pain Pumps to Eliminate the Need for Patient Controlled Analgesia Pumps in Primary Laparoscopic Roux-en-Y Gastric Bypass

“…This has previously been shown in orthopedic, urologic, gynecologic and thoracic applications. [1][2][3][4][5][6][7][8][9][10] However, to the present, there has been only one prior study which evaluated its efficacy in a laparoscopic model. 11 At our institution, a multimodal opioid-sparing approach, using the ON-Q ® pain pump, oral pain medications the night of the surgery, and meperidine boluses by patient request, is as effective as PCA in controlling postoperative pain in a LRYGBP model.…”

Role of ropivacaine infiltration analgesia in bilateral reduction mammaplasty

“…However, this difference was no longer significant at seven days. This same inefficiency in later postoperative pain control has also been found in breast cancer surgery [3,4] and has led some surgeons to use continuous wound infiltration after radical mastectomy to prolong the duration of pain control [9,10].…”

Continuous local analgesic therapy reduces pain after radical inguinal/iliacal lymph node dissection

“…cooling) and psychological methods can be considered, and a standardized systemic analgesic therapy according to World Health Organization (WHO) pain relief ladder can be supplemented by a patient controlled analgesia or invasive procedures like a local or epidural pain catheter applying local anaesthetics and/or opioids in a continuous analgesic therapy [3,4]. Continuous local analgesic therapies have already shown their effectiveness in several analyses [5,6].…”

“…To optimize postoperative period, we changed our analgesic regime after RLND and investigated the influence of a continuous application of local anaesthesia via a subfascial catheter in the abdominal wall, a known method in pain therapy [5,6]. Additionally we captured patients' postoperative level of pain with a visual analogue scale (VAS) in a prospective setting after radical inguinal/iliacal lymph node dissection (RILND).…”