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Comparison of infiltration analgesia and pectoral nerve block in the pain management after mastectomy for breast cancer
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Original Article
VOLUME: 52 ISSUE: 2
P: 308-312
2019

Comparison of infiltration analgesia and pectoral nerve block in the pain management after mastectomy for breast cancer

Acta Haematol Oncol Turc 2019;52(2):308-312
DOI: 10.5505/aot.2019.26928
Güldeniz Argun 1
Idıl Kaya 1
Süheyla Ünver 1
1. Department Of Anesthesiology And Reanimation, Medical Science University, Dr. A Y Oncology Training And Research Hospital, Demetevler/ankara, Turkey, 06200
2.
No information available.
No information available
Received Date: 2019-07-29T21:38:30
Accepted Date: 2019-08-30T10:06:39
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Abstract

INTRODUCTION

In this study, we aimed to compare the superiority of infiltration analgesia and pectoral nerve block methods on pain scores, total opioid consumption and discharge time from post anesthesia care unit (PACU) of patients after oncologic mastectomy.

METHODS

After approval of the ethics committee and patient consent, sixty patients who underwent mastectomy for breast cancer between 18-80 years of age were included in the study. Patients were divided into two groups, who underwent pectoral nerve block for postoperative analgesia as Group I and infiltration analgesia as Group II. Intraoperative tenoxicam of 20 mg was applied to all patients. Postoperative pain was evaluated with Visual Analog Scala (VAS) at the 1st, 6th, 12th and 24th hours. Patients with a VAS of more than 3 were given tramadol 1 mg/kg and morphine (05-1 mg) if necessary. In the first 24 hours postoperatively, total analgesic consumption, discharge time from PACU, rates of nausea, vomiting and other side effects of patients were recorded and results were evaluated statistically.

RESULTS

Demographic characteristics were similar in two groups. Postoperative VAS scores were significantly lower in the pectoral nerve block group at the 1st, 6th, 12th and 24th hours compared to the infiltration analgesia group. The total analgesic consumption, nausea- vomiting rate, and discharge time from PACU were significantly lower in the pectoral nerve block group.

DISCUSSION AND CONCLUSION

In our study, pectoral nerve block method was found superior to infiltration analgesia method on postoperative pain management in oncologic breast surgery. In conclusion, we recommend the pectoral nerve block to supply effective pain management and early discharge time from PACU after mastectomy for breast cancer.