Single vs Double Drain in Modified Radical Mastectomy: A Randomized Controlled Trial

To test the hypothesis that the use of single drain results in similar morbidity with significantly less pain as in double drain in patients undergoing modified radical mastectomy (MRM).
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Breast Source Type: research

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CONCLUSION: Intraoperative low dose ketamine infusion did not improve the overall quality of recovery on POD 1 in patients undergoing breast cancer surgery.PMID:34807494 | DOI:10.1111/ijcp.15010
Source: Clinical Genitourinary Cancer - Category: Cancer & Oncology Authors: Source Type: research
CONCLUSIONS: This quality improvement study demonstrates the feasibility of implementing ERAS at an ambulatory surgery center. However, the study did not include either a concurrent or preintervention control so that further studies are needed to assess whether there is an association between implementation of ERAS components and improvements in outcomes. Nevertheless, we provide benchmarking data on postoperative outcomes during the first 3 years of ERAS implementation. Our findings reflect progressive improvement achieved through continuous feedback and education of staff.PMID:34784326 | DOI:10.1213/ANE.0000000000005356
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Source Type: research
Researchers examined data from nearly 170,000 women and found that Native and Indigenous women had a higher percentage of mastectomy and a lower percentage of lumpectomy compared with white women. Today University of Arizona Health Sciencesgettyimages-944834546-hero-web.jpg A study by UArizona Health Sciences researchers found American Indian and Alaska Native women with early-stage breast cancer had a higher percentage of mastectomy and a lower percentage of lumpectomy than white women.HealthCancer CenterCollege of Medicine - TucsonCollege of Public HealthInclusionNative American Heritage Month Media contact(s)Olivi...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
BackgroundThe effectiveness of paravertebral block in preventing chronic pain after breast surgery remains controversial. The primary hypothesis of this study was that paravertebral block reduces the incidence of chronic pain 3 months after breast cancer surgery.MethodsIn this prospective, multicenter, randomized, double-blind, parallel-group, placebo-controlled study, 380 women undergoing partial or complete mastectomy with or without lymph node dissection were randomized to receive preoperative paravertebral block with either 0.35 ml/kg 0.75% ropivacaine (paravertebral group) or saline (control group). Systemic multimoda...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
This study included 135 patients, aged 40-60 years of either sex presented for elective unilateral-modified radical mastectomy.INTERVENTIONS: Patients were divided randomly into three groups: group I, received 0.3 mL/kg of 0.25 percent bupivacaine; group II, received 0.3 mL/kg of 0.25 percent bupivacaine, fentanyl 50 µg, and naloxone 100 ng; group III, received 0.3 mL/kg of 0.25 percent bupivacaine and fentanyl 50 µg.MAIN OUTCOME MEASURE(S): The visual analog scale was assessed immediately post-operative, every 2 hours till 12 hours, and then every 6 hours for 24 hours; the time of first and total amount of res...
Source: Journal of Opioid Management - Category: Addiction Authors: Source Type: research
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