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The association between ultrasound-guided Pecs II block and parasternal block can represent a valid alternative in the management of acute and postoperative pain syndrome after quadrantectomy with or without axillary dissection.
The combination of Pecs II block and PaB provides good management of postoperative pain and can be considered a viable alternative to common anesthetic procedures performed for breast cancer surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pecs II and parasternal blocks | Pecs II block was performed at the level of the fourth rib in the fascial plane between the minor pectoral and serratus anterior muscles, and 20 ml of 0.5% levobupivacaine solution were injected. An ultrasound-guided ipsilateral PaB was performed via two separate injections of 4 ml of 0.375% levobupivacaine at the level of the 2nd and 4th intercostal space underneath the external intercostal membrane between the major pectoral and intercostal muscles close to the surface of the 2nd and 4th rib. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pecs II and parasternal blocks | Procedure | Pecs II block was performed at the level of the fourth rib in the fascial plane between the minor pectoral and serratus anterior muscles, and 20 ml of 0.5% levobupivacaine solution were injected. An ultrasound-guided ipsilateral parasternal block was performed via two separate injections of 4 ml of 0.375% levobupivacaine at the level of the 2nd and 4th intercostal space underneath the external intercostal membrane between the major pectoral and intercostal muscles close to the surface of the 2nd and 4th rib. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain | Pain has been evaluate with visual analogue scale (VAS) at 24 months after surgery | Pain was recorded at 24 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Neuropathic postoperative disturbances | Neuropathic postoperative disturbances were examined using the von Frey hair test (neuropathic disturbances: present/not present) at 24 months | Neuropathic postoperative disturbances were recorded at 24 months after surgery |
| Patient satisfaction |
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Inclusion Criteria:
Exclusion Criteria:
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Patients scheduled for quadrantectomy with or without axillary dissection.
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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Patient satisfaction with regard to the anesthetic procedure was assessed using a five-step satisfaction scale (not at all/slightly/somewhat/very/extremely satisfied). |
| Patient satisfaction was evaluated at 1 day after surgery |
| Woud healing | Wound healing was assessed using a three-step scale (unacceptable/acceptable/excellent healing) in accordance with the surgeon's opinion. | Wound healing was assessed at 24 months after surgery |
| D017437 |
| Skin and Connective Tissue Diseases |