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Complications after mastectomy include chronic pain and depression.
A mastectomy is surgery could be associated with complications include chronic pain and depression. In female breast cancer patients, the incidence of postoperative depression was 46.55%. Stellate ganglion block had been used for treating post-traumatic stress disorder (PTSD) and depression symptoms even in its prevention. Also, it used in treatment of chronic pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stellate gangalion block group (Group S) | Experimental | Patients will receive ipsilateral stellate gangalion block (4ml) bupivacaine 0.25 %+( 4ml) normal saline + (8mg) dexamethasone in a total 10 ml |
|
| Control group (Group C) | No Intervention | Patients will not receive stellate gangalion block |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stellate gangalion block | Procedure | The efficacy of Preoperative ipsilateral stellate gangalion block on the occurrence of postmastectomy depression and pain compared with no block |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of postmastectomy depression | Beck Depression Inventory (BDI) score | 6 months postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of postmastectomy depression | Beck Depression Inventory (BDI) score | 3 months postoperatively |
| the need for postoperative antidepressant | needed or not |
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Inclusion Criteria:
Exclusion Criteria:
Female patients scheduled to do unilateral modified radical mastectomy
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maha Abo-Zeid, MD | Contact | 01019216192 | mahazed@mans.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maha | Recruiting | Al Mansurah | Egypt |
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Patients will be randomization into two equal groups using computer-generated random numbers prior to surgery of 70 each; Group S: will receive ipsilateral stellate gangalion block and Group C: will receive no block.
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The anesthesiologist, who will be responsible for opening the envelope and do the block or not according to the group besides, evaluation of its success and covering the skin over the site of ipsilateral stellate gangalion with sterile dressing in both groups, will not be involved in data collection.
| during the first 6 months postoperatively |
| acute postoperative pain at the incision site (breast and the axilla) | Numerical rating scale (NRS) (0-10) | every 12 hour for the first 48 hour recorded |
| chronic postmastectomy pain at the incision site | Numerical rating scale (NRS) (0-10) | at 3 and 6 months postoperatively |
| incidence of nausea and vomiting | occurred or not | during first 3 postoperative days |
| Functional pain in the ipsilateral shoulder | extended from the shoulder to the elbow or to the hand either associated with swelling, changing in the colour or temperature of that limb or associated with reduction in the range of the movement (elbow extension or arm abduction or fixed flexion deformity | during the first 6 months postoperatively |
| Any complications related to stellate ganglion injection | local hematoma, persistent postoperative horner's syndrome or respiratory distress | within 1 day postoperatively |