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首页> 外文期刊>Scandinavian journal of plastic and reconstructive surgery and hand surgery >Local infiltration of anaesthesia with subpectoral indwelling catheters after immediate breast reconstruction with implants: a pilot study.
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Local infiltration of anaesthesia with subpectoral indwelling catheters after immediate breast reconstruction with implants: a pilot study.

机译：在使用植入物立即进行乳房重建后，使用胸膜下留置导管对麻醉剂进行局部浸润。

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摘要

Our aim was to evaluate a supplementary method of pain relief following immediate breast reconstruction with submuscular tissue expanders in a descriptive, retrospective analysis. Between 2001 and 2003, 30 patients underwent 36 mastectomies with immediate breast reconstruction using submuscular tissue expanding prostheses. In 20/36 mastectomies an indwelling catheter was introduced behind pectoralis major for periodic injection of local ropivacaine as a supplement to standard postoperative analgesia. This group was compared with the group of patients operated on before the introduction of this method. The oral consumption of opioids was significantly lower in patients with subpectoral indwelling catheters. The hospital stay was reduced in patients with subpectoral indwelling catheters. No patient had an adverse event during the postoperative period. Periodic infusion of local anaesthetics through an indwelling catheter during the early postoperative period reduces the consumption of oral opioids and reduces hospital stay.
机译：我们的目的是在描述性，回顾性分析中，评估使用肌肉下组织扩张器立即进行乳房重建后的缓解疼痛的补充方法。在2001年至2003年之间，有30例患者接受了36例乳房切除术，并使用肌肉下组织扩张假体进行了乳房即时重建。在20/36乳房切除术中，在大胸大肌后面插入留置导管，用于定期注射局部罗哌卡因，作为术后标准镇痛的补充。将该组与采用该方法之前接受手术的患者组进行比较。胸下置管患者的阿片类药物的口服消耗量显着降低。使用胸下置管的患者减少了住院时间。术后无患者发生不良事件。术后早期通过留置导管定期输注局部麻醉药可减少口服阿片类药物的消耗并减少住院时间。

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