Skip to main content

Advertisement

Log in

Use of a Regional Infusion Pump to Control Postoperative Pain After an Abdominoplasty

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

This study presents the clinical results for 20 patients who underwent abdominoplasty. A subset of these patients were given a pain relief system that provides continuous infusion of a nonnarcotic medication directly into the surgical wound to reduce postoperative pain. Whereas patients received a pain pump in addition to standard oral/intramuscular pain medication, 10 patients received only the standard oral and intramuscular postoperative pain medications. All 20 patients then were asked to complete an evaluation of their postoperative discomfort and pain. The findings show a significant reduction in postoperative pain with the use of the ambulatory pain pump. The simplicity of installing and running the pump and the benefits obtained, including early ambulation and less pain as well as reduced need and strength of narcotic medications lead the authors to believe that the implementation of this pain control technology soon will become widespread in their specialty. The study indicates that patients require less sedation and get out of bed sooner with this device, thereby reducing the incidence of deep venous thrombosis, pulmonary emboli, and narcoticdependency.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Ansbro PA: A method of continuous brachial plexus block. Am J Surg 121:716–722, 1946

    Article  Google Scholar 

  2. Baroody M, Tameo M, Dabb R: Efficacy of the pain pump catheter in immediate autologous breast reconstruction. Plast Reconstr Surg 114:895, 2004

    Article  PubMed  Google Scholar 

  3. Guttman C: Pain pump minimizes pain post–breast augmentation, but patients may not find cost-to-benefit ratio favorable. Cosmetic Surgery Times, Jan 1, 2004

  4. Ilfeld BM, Morey TE, Wang RD, Enneking FK: Continuous popliteal sciatic nerve block for postoperative pain control at home. Anesthesiology 97:959, 2002

    Article  PubMed  Google Scholar 

  5. Klein SM, Grant SA, Greengrass RA, et al: Interscalene brachial plexus block with a continuous catheter insertion system and a disposable infusion pump. Anesth Analg 91:1473, 2003

    Google Scholar 

  6. Mentz HA, Ruiz-Razura A, Patronella CK, Newall G: The use of a pump for the control of postoperative pain in abdominal reconstruction. Plast Surg Forum XXVII:310, 2004

    Google Scholar 

  7. Pacik P: Efficacy of the pain pump catheter in immediate autologous breast reconstruction [discussion]. Plast Reconstr Surg 114:899–900, 2004

    Article  Google Scholar 

  8. Pacik PT: Pain management in augmentation mamaplasty: A randomized comparative of the use of a continuous infusion versus intermittent bolus of a local anesthetic. Presented at the 72nd Annual Meeting of the American Society of Plastic Surgeons. San Diego, CA, 29 October 2003

  9. Pacik PT, Werner C, Jackson N, Lobsitz C: Pain control in augmentation mammaplasty: The use of indwelling catheters in 200 consecutive patients. Plast Reconstr Surg 111:2090, 2003

    Article  PubMed  Google Scholar 

  10. Park JY, Lee GW, Kim Y, Yoo MJ: The efficacy of continuous intrabursal infusion with morphine and bupivacaine for postoperative analgesia after subacromial arthroplasty. Reg Anesth Pain Med 27:145,2002

    Article  PubMed  Google Scholar 

  11. Savoie FH, Field LD, Kenkins RN, Mallon WJ, Phelps RA: The pain control infusion pump for postoperative pain control in shoulders surgery. Arthroscopy 16:339, 2000

    PubMed  Google Scholar 

  12. Veal DF, Altman CE, McKinnon BT, Fillingim O: Evaluation of flow rates for six disposable infusion devices. Am J Health Syst Pharm 52:500–504, 1995

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Henry A. Mentz M.D., FACS, FICS.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mentz, H.A., Ruiz-Razura, A., Newall, G. et al. Use of a Regional Infusion Pump to Control Postoperative Pain After an Abdominoplasty. Aesth Plast Surg 29, 415–421 (2005). https://doi.org/10.1007/s00266-005-0062-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-005-0062-8

Keywords

Navigation