Comparative Study of Liposomal Bupivacaine Versus Paravertebral Block for Pain Control Following Mastectomy with Immediate Tissue Expander Reconstruction

Jad M. Abdelsattar, Judy C Boughey, Aodhnait S. Fahy, James W Jakub, David R. Farley, Tina J Hieken, Amy C Degnim, Whitney Goede, Anita T. Mohan, William S. Harmsen, Adam D. Niesen, Nho V. Tran, Karim Bakri, Steven R. Jacobson, Valerie Lemaine, Michel Saint-Cyr

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Background: Several approaches to minimize postoperative pain, nausea, and enhance recovery are available for patients undergoing mastectomy with immediate tissue expander (TE) reconstruction. We compared the effectiveness of intraoperative local infiltration of liposomal bupivacaine (LB) to preoperative paravertebral block (PVB). Methods: We retrospectively reviewed patients who underwent mastectomy with immediate TE reconstruction between May 2012 and October 2014 and compared patients with preoperative ultrasound-guided PVB to those with intraoperative LB infiltration. Results: Fifty-three patients (54.6 %) received LB and 44 received PVB. LB was associated with less opioid use in the recovery room (p 

Original languageEnglish (US)
Pages (from-to)465-470
Number of pages6
JournalAnnals of Surgical Oncology
Volume23
Issue number2
DOIs
StatePublished - Feb 1 2016

    Fingerprint

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Abdelsattar, J. M., Boughey, J. C., Fahy, A. S., Jakub, J. W., Farley, D. R., Hieken, T. J., Degnim, A. C., Goede, W., Mohan, A. T., Harmsen, W. S., Niesen, A. D., Tran, N. V., Bakri, K., Jacobson, S. R., Lemaine, V., & Saint-Cyr, M. (2016). Comparative Study of Liposomal Bupivacaine Versus Paravertebral Block for Pain Control Following Mastectomy with Immediate Tissue Expander Reconstruction. Annals of Surgical Oncology, 23(2), 465-470. https://doi.org/10.1245/s10434-015-4833-4