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Pectoral Plane Block versus Local Anesthetic Infiltration in Breast Implant Augmentation Surgery: A Retrospective
Vivien Moris1, Antoine Sanchez1, Adrien Guilloteau1
1From the Service de Chirurgie Maxillo-Faciale et Chirurgie Plastique and Service d'Épidémiologie et d'Hygiène Hospitalières, CHU de Dijon; Service d'Anesthésie et Reanimation, Centre Hospitalier William Morey à Chalon sur Saone; Service de Chirurgie Plastique, Reconstructrice, et Esthétique, Hopital Saint-Louis; and Service de Chirurgie Plastique, Reconstructrice, et Esthétique, CHU de Brest.
Local anesthetic infiltration provided better pain relief 24 hours after dual-plane breast augmentation than pectoral plane blocks. This technique is a safe and effective alternative for post-operative pain management.
Area of Science:
- Anesthesiology
- Plastic Surgery
- Pain Management
Background:
- Pectoral plane blocks are standard for pain relief after dual-plane breast augmentation.
- Local anesthetic infiltration is a simpler alternative with the same goal.
Purpose of the Study:
- To compare the analgesic efficacy of pectoral plane block versus local anesthetic infiltration for dual-plane breast augmentation.
Main Methods:
- Retrospective study of 81 patients undergoing dual-plane breast augmentation.
- Patients received either pectoral plane block (ropivacaine) or local anesthetic infiltration.
- Pain assessed via Visual Analogue Scale (VAS) at 24 hours post-surgery.
Main Results:
- Local anesthetic infiltration showed significantly lower VAS pain scores at 24 hours (0.7 vs. 1.5, p=0.007).
- No significant differences in pain scores were observed at earlier time points (1, 2, 6, 12 hours).
- Anesthesia duration was longer for pectoral plane blocks (153 vs. 120 minutes).
Conclusions:
- Local anesthetic infiltration offers superior analgesia at 24 hours post-dual-plane breast augmentation.
- This technique is a safe, fast, and effective alternative to pectoral plane blocks for pain management.
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