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Diazepam Premedication in Primary Augmentation Mammoplasty.

Elizabeth A Lucich1, Nicholas S Adams1, Renee L Barry2

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Eplasty
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Summary

Preoperative oral diazepam did not significantly improve recovery times for breast augmentation patients. This study found that diazepam may increase postoperative narcotic use and pain scores, suggesting it is not beneficial for this procedure.

Keywords:
augmentation mammoplastybreast augmentationdiazepam premedicationnarcotic usepain controlpostoperative nausea and vomiting

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Area of Science:

  • Plastic Surgery
  • Anesthesiology
  • Pharmacology

Background:

  • Outpatient surgical centers are increasingly utilized for elective procedures like breast augmentation.
  • Preoperative anxiolytics, such as diazepam, are sometimes administered to manage patient anxiety.
  • The impact of preoperative diazepam on the postoperative recovery course in augmentation mammoplasty requires further evaluation.

Purpose of the Study:

  • To assess the effect of preoperative oral diazepam on the postoperative recovery of patients undergoing primary augmentation mammoplasty.
  • To compare pain scores, medication requirements, and discharge times between patients receiving diazepam and a control group.

Main Methods:

  • Retrospective review of 189 patients undergoing primary breast augmentation between 2012 and 2015.
  • Comparison of a group receiving oral diazepam premedication with a control group.
  • Collection of data on demographics, perioperative medications, operative details, and postoperative pain scores.

Main Results:

  • No significant differences in age, BMI, implant size, or intraoperative opioid use between groups.
  • Operative time was slightly longer in the control group (P = .006).
  • Postoperative narcotic use (P = .036) and predischarge pain scores (P = .006) were higher in the diazepam group, with no significant reduction in discharge time.

Conclusions:

  • Preoperative oral diazepam does not significantly reduce discharge time in primary augmentation mammoplasty.
  • The use of diazepam in this context may lead to increased postoperative narcotic consumption and elevated pain levels at discharge.
  • Current evidence does not support the routine use of preoperative diazepam for primary breast augmentation in outpatient settings.