Bejar-Chapa Maria, Caragher Seamus P, Gfrerer Lisa, Valerio Ian L, Colwell Amy S, Winograd Jonathan M
From the Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Division of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York City, N.Y.
Plast Reconstr Surg Glob Open. 2024 Dec 23;12(12):e6266. doi: 10.1097/GOX.0000000000006266. eCollection 2024 Dec.
Chronic postoperative pain after breast surgery is a significant concern, with studies indicating varying rates depending on the type of surgical procedure. The risk of developing neuropathic pain is notably increased with axillary lymph node dissection due to potential nerve injuries. Additionally, the method of breast reconstruction may influence postsurgical pain rates, with conflicting findings on the impact of reconstruction type. Recent advancements in techniques such as targeted muscle reinnervation, among others, show promise in addressing postoperative pain in these patients. As the prevalence of these procedures rises, future research is likely to focus on assessing and managing pain in this patient population. The development of patient-reported outcome measures specific to breast surgery pain can aid in clinical assessment and treatment planning. This review emphasizes the importance of gaining a deeper understanding of risk factors, nerve anatomy, and treatment options to enhance outcomes and quality of life for individuals undergoing breast surgery.
乳房手术后的慢性疼痛是一个重大问题，研究表明，根据手术类型的不同，发生率也有所不同。由于潜在的神经损伤，腋窝淋巴结清扫术后发生神经性疼痛的风险显著增加。此外，乳房重建方法可能会影响术后疼痛发生率，关于重建类型的影响存在相互矛盾的研究结果。靶向肌肉再支配等技术的最新进展显示出有望解决这些患者的术后疼痛问题。随着这些手术的普及率上升，未来的研究可能会集中在评估和管理该患者群体的疼痛方面。开发针对乳房手术疼痛的患者报告结局指标有助于临床评估和治疗规划。本综述强调了深入了解风险因素、神经解剖结构和治疗选择对于提高接受乳房手术患者的治疗效果和生活质量的重要性。
