Hasoon Jamal, Urits Ivan, Viswanath Omar, Dar Bilal, Kaye Alan D
Anesthesiology • Pain Management, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, USA.
Anesthesiology • Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, USA.
Cureus. 2021 Jan 12;13(1):e12656. doi: 10.7759/cureus.12656.
Postmastectomy pain syndrome (PMPS) is a common complication after breast cancer surgery and is often challenging to manage. Treatment options include medication management, physical therapy, and interventional procedures. The erector spinae plane block (ESPB) is a regional technique proven to help both acute postoperative analgesia and chronic neuropathic pain conditions. This block is becoming more popular in the chronic pain setting for neuropathic thoracic pain conditions. We describe the utilization of the ESP block for significant neuropathic breast pain after total mastectomy. Our case demonstrates the utility of this block for women suffering from severe PMPS.
乳房切除术后疼痛综合征（PMPS）是乳腺癌手术后的常见并发症，治疗往往具有挑战性。治疗选择包括药物治疗、物理治疗和介入手术。竖脊肌平面阻滞（ESPB）是一种区域技术，已被证明有助于术后急性镇痛和慢性神经性疼痛状况。这种阻滞在慢性疼痛环境中对于神经性胸痛状况越来越受欢迎。我们描述了在全乳房切除术后使用ESPB阻滞治疗严重神经性乳房疼痛的情况。我们的病例证明了这种阻滞对患有严重PMPS的女性的效用。
