Postmastectomy pain syndromes

Abstract

Pain associated with cancer and its treatment continues to be a significant concern for those persons diagnosed with the illness. This article will focus on pain syndromes associated with surgical interventions for women with breast cancer. Postmastectomy pain syndromes including postaxillary dissection pain and phantom breast pain will be described in terms of their nature, incidence, and temporal course based on current literature findings. Treatment strategies and implications for nursing interventions employed in caring for these women will also be discussed. Nurses can use information about postmastectomy pain syndromes to educate their patients, to cooperate in successfully managing effects of the disease and treatment, and to help women cope after breast cancer surgery.

Persistent Postmastectomy Pain and Pain-Related Physical and Emotional Functioning With and Without a Continuous Paravertebral Nerve Block: A Prospective 1-Year Follow-Up Assessment of a Randomized, Triple-Masked, Placebo-Controlled Study

“…31 For breast surgery, the division between acute and chronic periods is considered at some point between 3 and 6 months. 5,38 The results from our study reflected this. No statistically significant differences between treatments were observed at 3 months, and five subjects who had not experienced pain at 3 months had chronic pain by month 12 (1 from the group that had received perineural ropivacaine and 4 from the placebo group; Table 4).…”

Incidence and etiology of postoperative chronic pain after breast surgery

“…While it is not certainly known, it is believed that this clinical picture occurs after damage to intercostobrachial and intercostal nerves during mastectomy, lumpectomy and axillary dissection (23)(24)(25) . The sensitivity to pain in PMPS is detected in anterior thorax, axilla and upper medial arm where the damaged nerves distributed (20,23,26) . In our study, the locations of pain in csw PMPS were breast and axilla at the operation side and edema was seen in arm, forearm and hands at operation side.…”

“…In our study, the locations of pain in csw PMPS were breast and axilla at the operation side and edema was seen in arm, forearm and hands at operation side. When axillary dissection is performed in the same session with mastectomy and lumpectomy, 80-100% of local nerves are injured (20,23,26) . Hence, incidence of PMPS in patients who had undergone mastectomy, mastectomy plus axillary dissection, lumpectomy, and lumpectomy plus axillary dissection were 29.5, 64, 12.5, and 61.1%, respectively.…”

Preservation of Intercostobrachial Nerve Relieves Pain and Sensory Disturbances and Improves Quality of Life of Post Mastectomy Patients

“…8 The ache traits consist of Paroxysms of lancinating ache in the background of burning; aching and www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i11.94 tightening sensations. [9][10][11][12][13] . A observe of PMPS can also help boom cutting-edge attention, pick out the predisposing factors and enhance management methods by treating surgeons.…”