Role of ropivacaine infiltration analgesia in bilateral reduction mammaplasty
| Autor: | J. Salleron, S. Mazouz Dorval, T. Sorin, Marc Revol, C. Ozil, Y. Guenane, V. Nguyen Van Nuoi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty medicine.medical_treatment Analgesic 030230 surgery Injections 03 medical and health sciences 0302 clinical medicine Nefopam 030202 anesthesiology Humans Medicine Ropivacaine Prospective Studies Anesthetics Local Prospective cohort study Analgesics Pain Postoperative business.industry Middle Aged Amides Surgery Plastic surgery Case-Control Studies Anesthesia Infiltration analgesia Female Tramadol business medicine.drug |
| Zdroj: | Annales de Chirurgie Plastique Esthétique. 61:91-94 |
| ISSN: | 0294-1260 |
| DOI: | 10.1016/j.anplas.2016.01.004 |
| Popis: | Introduction Bilateral reduction mammaplasty (BRM) is a common procedure in plastic surgery. Our study aims to determine whether single-shot infiltration with ropivacaine during surgery reduces postoperative pain and decreases analgesic consumption. Methods In a prospective and monocentric study, all women operated by a single senior plastic surgeon, for whom BRM had been performed were included. The same surgical technique was performed for all patients (a superior pedicle, wise-pattern BRM with a closed-suction drainage). During the first half first part of the study period, none of the patients received ropivacaine infiltration (control group) and during the second half, all the patients received this infiltration (ropivacaine group). Infiltration was performed with a 20 mL solution of ropivacaine per side. Analgesic consumption and pain intensity were recorded during hospitalization and following discharge. Results Forty-nine patients were divided into two groups (29 in the ropivacaine group and 20 in the control group). The ropivacaine group had a significantly lower consumption than the control group on all analgesics (paracetamol, tramadol, nefopam and morphin) (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect