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Annals of Surgical Oncology

, Volume 22, Issue 10, pp 3402–3403 | Cite as

Local Infiltration of Liposomal Bupivacaine for Pain Control in Patients Undergoing Mastectomy with Immediate Tissue Expander Reconstruction

  • Jad M. Abdelsattar
  • Amy C. Degnim
  • Tina J. Hieken
  • Michel Saint-Cyr
  • Judy C. BougheyEmail author
Breast Oncology

Abstract

Mastectomy with immediate tissue expander reconstruction is associated with postoperative pain, nausea, and vomiting. Various techniques of perioperative and postoperative pain control have been described. Our standard of care for postsurgical pain management in patients undergoing mastectomy with immediate tissue expander reconstruction has been preoperative ultrasound-guided paravertebral block. Recent literature demonstrating the opioid-sparing benefits of liposomal bupivacaine has directed two of our plastic surgeons to pilot its use in immediate tissue expander reconstruction. In the accompanying video, we present our technique of intraoperative local infiltration of liposomal bupivacaine into the base of mastectomy skin flaps, serratus fascia, and periaxillary tissue after completion of the mastectomy and before tissue expander placement into the reconstruction pocket.

Keywords

Bupivacaine Hemorrhoid Tissue Expander Local Infiltration Pectoralis Major Muscle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Disclosure

The authors declare no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 293877 kb)

References

  1. 1.
    Gorfine SR, Onel E, Patou G, Krivokapic ZV. Bupivacaine extended-release liposome injection for prolonged postsurgical analgesia in patients undergoing hemorrhoidectomy: a multicenter, randomized, double-blind, placebo-controlled trial. Dis Colon Rectum. 2011;54:1552–9.CrossRefPubMedGoogle Scholar
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    Golf M, Daniels SE, Onel E. A phase 3, randomized, placebo-controlled trial of DepoFoam(R) bupivacaine (extended-release bupivacaine local analgesic) in bunionectomy. Adv Ther. 2011;28:776–88.CrossRefPubMedGoogle Scholar

Copyright information

© Society of Surgical Oncology 2015

Authors and Affiliations

  • Jad M. Abdelsattar
    • 1
  • Amy C. Degnim
    • 1
  • Tina J. Hieken
    • 1
  • Michel Saint-Cyr
    • 1
  • Judy C. Boughey
    • 1
    Email author
  1. 1.Department of SurgeryMayo Clinic College of MedicineRochesterUSA

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