Regular ArticleImmediate reconstruction in breast cancer surgery requires intensive post-operative pain treatment but the effects of axillary dissection may be more predictive of chronic pain
References (19)
- et al.
Pain and other symptoms after different treatment modalities of breast cancer
Ann Oncol
(1995) - et al.
Postmastectomy/postlumpectomy pain in breast cancer survivors
J Clin Epidemiol
(1998) - et al.
Pain after breast surgery: a survey of 282 women
Pain
(1996) - et al.
Effect of present pain and mood on the memory of past postoperative pain in women treated surgically for breast cancer
Pain
(1996) - et al.
A retrospective cohort study of post mastectomy pain syndrome
Pain
(1999) - et al.
Patterns of patient-controlled analgesia and intramuscular analgesia
Appl Nurs Res
(1995) - et al.
Postoperative patient-controlled analgesia: meta-analyses of initial randomized control trials
J Clin Anaesth
(1993) - et al.
Treatment-related factors predisposing to chronic pain in patients with breast cancer: a multivariate approach
Acta Oncologica
(1997) - et al.
Risk factors for pain after mastectomy lumpectomy
Cancer Prac
(1999)
Cited by (38)
The Impact of implant-based reconstruction on persistent pain after breast cancer surgery: A systematic review
2022, Journal of Plastic, Reconstructive and Aesthetic SurgeryCitation Excerpt :Although patients with both pre- and postoperative pain had the highest possibility of having breast reconstruction at any time, the results were statistically nonsignificant (X2=1.7, P=0.423).32 Legeby et al.33 compared the pain levels of the patients while allocating them into four groups (1––mastectomy; 2––mastectomy and axillary lymph node dissection; 3––mastectomy and reconstruction; and 4––mastectomy, reconstruction, and axillary lymph node dissection). Patients with immediate breast reconstruction reported higher levels of pain.33
Factors associated with acute postoperative pain following breast reconstruction
2017, JPRAS OpenCitation Excerpt :This is a concern for the cohort of women receiving breast reconstruction as one-fourth to one-half of these women report long-term persistent pain beyond the expected course of surgical recovery.9–12 Studies evaluating postoperative pain following breast reconstruction have generally examined the development of chronic rather than the severity of acute postsurgical pain.11–14 Indeed, clinical reviews and outcome studies describing complications following breast reconstruction uniformly fail to either consider or adequately address pain as an outcome variable,15,16 even when assessing patient satisfaction with reconstruction surgery.17
Breast reconstruction with an expander prosthesis following mastectomy does not cause additional persistent pain: A nationwide cross-sectional study
2013, Journal of Plastic, Reconstructive and Aesthetic SurgeryCitation Excerpt :After adjusting for age and treatment modalities in a multivariate logistic regression analysis, reconstruction with expansion and implant does not modify the risk of developing persistent pain. To our knowledge, only two studies evaluated the prevalence of persistent pain after breast reconstruction with a tissue expander and implant in comparison to the prevalence of pain after mastectomy without reconstruction.9,10 Legeby et al. (N = 144) found no indication of increased persistent pain 3–4 years postoperatively after immediate breast reconstruction compared with mastectomy without reconstruction but found that ALND, rather than immediate breast reconstruction, predisposes to persistent pain.9
Persistent pain after mastectomy with reconstruction
2011, Journal of Clinical AnesthesiaCitation Excerpt :Undergoing breast reconstruction increases the risk of PPSP following surgery for breast cancer [2,16], especially if breast implants are used, if they are placed submuscularly, and if saline implants are used rather than silicone [2]. Conflicting results have been found when studying the effect of performing immediate or delayed reconstructive surgery [2,16]. Patients undergoing breast reconstruction following mastectomy have a greater incidence of postoperative complications than those having such surgery for cosmetic reasons, including contracture, implant rupture, and infection [17], and postoperative complications increase the risk of PPSP following breast surgery for cancer [18].
Acute and chronic pain following breast surgery
2009, Acute Pain
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Address correspondence to: Christina Olofsson MD, PhD, Associate Professor, Department of Anaesthesia and Intensive Care, Karolinska Hospital, S 171 76 Stockholm, Sweden. Tel.: +46 8 517 720 66; Fax: +46 8 30 77 95; E-mail: [email protected]