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The aim of the study is to compare the efficacy of T2, T3 sympathetic block using thermal radiofrequency versus chemical neurolysis in postmastectomy pain syndrome using perfusion index derived from pulse oximetry.
Postmastectomy pain is a chronic pain condition with neuropathic nature. Several drugs and methods are used for its management. This study was designed to compare the efficacy of both thermal radiofrequency and chemical neurolysis in management of postmastectomy pain through using perfusion index derived from pulse oximetry.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thermal Radiofrequency | Experimental | T2, T3 block by thermal radiofrequency lesioning at 80°c for 120 seconds |
|
| Chemical Neurolysis | Active Comparator | T2, T3 block by chemical neurolysis using 1.5 ml of phenol in saline 8% at each level |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thermal Radiofrequency | Procedure | Radiofrequency lesioning at level of T2 and T3 using 80°c for 120 seconds |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue score | minimum score 0 and maximum score 10 | up to 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Perfusion index trend | measuring the change in perfusion index in the ipsilateral limb after the procedure compared to pre-procedural | procedure time |
| Opioid consumption | average opioid consumption |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Walaa Y Elsabeeny, MD | Assistant Professor of Anesthesia and Pain Management, National Cancer Institute, Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Walaa Y Elsabeeny | Cairo | 11796 | Egypt |
Data will be available upon reasonable request through contacting the corresponding author
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D020728 | Transurethral Resection of Prostate |
| D009407 | Nerve Block |
| ID | Term |
|---|---|
| D011468 | Prostatectomy |
| D013521 | Urologic Surgical Procedures, Male |
| D013520 | Urologic Surgical Procedures |
| D013519 | Urogenital Surgical Procedures |
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| Chemical Neurolysis | Procedure | injection of 1.5 ml of the chemical neurolytic agent (phenol in saline 8%) at each level |
|
| up to 24 weeks |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013514 | Surgical Procedures, Operative |
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
| D003714 | Denervation |
| D019635 | Neurosurgical Procedures |