Grella Elisa, Molle Marcello, Nardone Luigi, Crisci Erminia, Coppola Vincenzo, Pieretti Gorizio, Faenza Mario, Nicoletti Giovanni Francesco
From the Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.
Multidisciplinary Department of Medical-Surgical and Dental Specialties, Anesthesia, Resuscitation, Intensive Care and Pain Unit, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.
Plast Reconstr Surg Glob Open. 2024 Dec 19;12(12):e6394. doi: 10.1097/GOX.0000000000006394. eCollection 2024 Dec.
Reduction mammaplasty surgery is a commonly performed procedure in plastic surgery, offering significant improvements in quality of life. However, the postoperative period may be accompanied by considerable pain. In this study, we assess the impact of interpectoral block on reducing postoperative pain.
The study assessed postoperative pain using the Numeric Rating Scale at 3, 6, 12, and 24 hours following reduction mammaplasty surgery in a cohort of 46 patients operated on between January and September 2023. Among them, 28 patients received an interpectoral block, whereas 18 did not. Additionally, the study monitored analgesic intake, the incidence of shivering and nausea, and blood pressure and heart rate values in the postoperative period.
In patients undergoing interpectoral blockade, there was a statistically significant reduction in postoperative NRS values and the need for additional analgesic therapy. However, no significant differences were observed in the incidence of nausea and shivering between the 2 groups.
The implementation of pectoral nerve blocks appears to be a promising technique for mitigating postoperative pain in reduction mastopexy surgery.
缩乳手术是整形外科中常见的手术，能显著改善生活质量。然而，术后可能会伴有相当程度的疼痛。在本研究中，我们评估胸肌间阻滞对减轻术后疼痛的影响。
本研究采用数字评分量表，对2023年1月至9月间接受缩乳手术的46例患者术后3小时、6小时、12小时和24小时的疼痛情况进行评估。其中，28例患者接受了胸肌间阻滞，而18例未接受。此外，本研究还监测了术后镇痛药物的摄入量、寒战和恶心的发生率以及血压和心率值。
接受胸肌间阻滞的患者术后数字评分量表值有统计学意义的降低，且对额外镇痛治疗的需求减少。然而，两组之间恶心和寒战的发生率未观察到显著差异。
胸神经阻滞的实施似乎是减轻缩乳手术术后疼痛的一种有前景的技术。
