Our Summary

This study looked at the effectiveness and safety of a new pain-blocking technique called erector spinae plane block in patients who had a specific type of breast surgery. The researchers found that patients who received this type of pain block needed less pain medication after surgery, experienced less nausea, and required pain relief less frequently. They also reported less pain overall and were more satisfied with their pain management. The researchers concluded that this technique is safe and effective in managing pain after breast surgery.

FAQs

  1. What is the new pain-blocking technique called erector spinae plane block?
  2. What are the benefits of using the erector spinae plane block in patients who had breast surgery?
  3. Did the study conclude that the erector spinae plane block technique is safe for managing pain after breast surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about radical mastectomy is to discuss the option of a pain-blocking technique called erector spinae plane block with their healthcare provider. This technique has been shown to reduce the need for pain medication, decrease nausea, and provide better overall pain management for patients undergoing breast surgery. It is important to have an open and honest conversation with your healthcare team about all available pain management options to ensure a comfortable recovery process.

Suitable For

Patients who are typically recommended radical mastectomy are those with:

  • Large tumors or tumors that are close to the chest wall
  • Inflammatory breast cancer
  • Multiple tumors in different areas of the breast
  • Recurrent breast cancer
  • Genetic mutations that increase the risk of breast cancer
  • Patients who have already had breast-conserving surgery but have a recurrence in the same breast

Timeline

Before radical mastectomy:

  1. Patient is diagnosed with breast cancer and undergoes various tests and consultations with oncologists and surgeons.
  2. Patient makes the decision to undergo a radical mastectomy, which involves the removal of the entire breast, underlying chest muscles, and lymph nodes.
  3. Patient may undergo pre-operative tests and preparations, such as blood work, imaging studies, and consultations with anesthesiologists.
  4. Patient may receive counseling and support to cope with the emotional and psychological impact of the surgery.

After radical mastectomy:

  1. Patient undergoes the radical mastectomy surgery, typically performed under general anesthesia.
  2. Patient wakes up in the recovery room and begins the post-operative recovery process.
  3. Patient may experience pain, swelling, and limited range of motion in the affected area.
  4. Patient is monitored for any complications, such as infection or bleeding.
  5. Patient may receive pain medication and other supportive care to manage symptoms and aid in the healing process.
  6. Patient may undergo physical therapy and rehabilitation to regain strength and range of motion in the affected area.
  7. Patient may undergo follow-up appointments and imaging studies to monitor for recurrence or complications.
  8. Patient may receive counseling and support to cope with the physical and emotional changes resulting from the surgery.

What to Ask Your Doctor

  1. What is a radical mastectomy and why is it recommended for me?
  2. What are the potential risks and complications associated with a radical mastectomy?
  3. How long is the recovery process after a radical mastectomy?
  4. What pain management options are available to me during and after the surgery?
  5. Can I receive an erector spinae plane block as part of my pain management plan?
  6. What are the potential benefits and risks of receiving an erector spinae plane block?
  7. How does the erector spinae plane block compare to other pain management techniques for breast surgery?
  8. How long does the pain relief from an erector spinae plane block typically last?
  9. Will I still need to take pain medication after receiving an erector spinae plane block?
  10. Are there any specific factors that may make me ineligible for an erector spinae plane block?

Reference

Authors: Kumar P, Singh A, Sharma J, Parshad S, Johar S, Kaur K. Journal: Med Gas Res. 2024 Dec 1;14(4):201-205. doi: 10.4103/mgr.mgr_74_20. Epub 2024 Mar 28. PMID: 39073328