Preoperative ropivacaine infiltration in breast surgery

Abstract

We found no differences in postoperative pain management between 3.75 mg/ml ropivacaine and saline wound infiltration before breast surgery. The data show similar postoperative needs of analgesics and antiemetics with a similar frequency of PONV.

Omission of fentanyl during sevoflurane anesthesia decreases the incidences of postoperative nausea and vomiting and accelerates postanesthesia recovery in major breast cancer surgery

“…The incidence of nausea during the first 24 postoperative hours in group SF (68%) was almost comparable with that in previous reports of anesthesia without the use of prophylactic antiemetics (33%-85%) in major breast surgery [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. Many factors are thought to be involved in the high incidence of PONV [18,21].…”

“…It has been recognized that major breast surgery is associated with a high incidence of PONV [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]18,21], and PONV is the major limiting factor for performing such surgery as a day procedure [11,21]. The incidence of nausea during the first 24 postoperative hours in group SF (68%) was almost comparable with that in previous reports of anesthesia without the use of prophylactic antiemetics (33%-85%) in major breast surgery [1][2][3][4][5][6][7][8][9][10][11][12][13][14].…”

“…Breast cancer surgery performed under general anesthesia using a volatile anesthetic is associated with high incidences (33%-85%) of postoperative nausea and vomiting (PONV) [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. Recently, not only minor breast operations, such as lumpectomy, but major operations, such as mastectomy, have been performed as ambulatory surgery or "drive-through mastectomy" in order to decrease healthcare costs and improve the patients' emotional and psychological well-being [11,[15][16][17].…”

Betamethasone in Prevention of Postoperative Nausea and Vomiting Following Breast Surgery

“…The incidence of PONV was similar between the groups and was reduced to around 35%. This result agrees with our early findings of a standardized general anesthetic with a volatile agent combined with a low dose of fentanyl intravenously [7].…”

Reduction or elimination of postoperative pain medication after mastectomy through use of a temporarily placed local anaesthetic pump vs. control group

“…Some results even question the effect at all for laparoscopic wound infiltration [9]. For breast surgery it was proven that preoperative infiltration with local anaesthetic, as well as local application of morphine in solution at the surgical site [14], had no effect on postoperative pain [15].…”