Pain control in the recovery room
Posted by: Peter T. Pacik, MD, FACS
As of 12/08 we now have over 750 consecutive patients who have benefited from the long acting local anesthesia that is infiltrated during anesthesia and the pain control catheters that the patients go home with. This technique has proven to be safe in our hands during the past 12 years of use.
An article appeared in the Sept.-Oct. issue of Aesthetic Plastic Surgery (2008; 28; 528-533) showing the benefits of this technique in a controlled study of 150 augmentation mammaplasty patients. 75 patients had the benefit of the local anesthesia supplement, compared to 75 patients who did not. The study showed significantly reduced pain in the recovery room with less need for narcotics in those patients who had the local anesthesia.
Contact Us for More Information
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website on breast enlargements for more information or use the online contact form to send an inquiry. LATE AFTERNOON & EVENING HOURS NOW AVAILABLE .
Augmentation Mammaplasty: Sites of Pain
Posted by: Peter T. Pacik, MD, FACS
We have been studying pain after breast enlargement surgery and have learned a great deal about what the patient is experiencing after augmentation mammaplasty. We have written a number of published papers and have presented this information at both regional and national plastic surgery meetings.
Most patients experience pain in their breasts after the surgery, but other sites are also involved. Patients score their pain after augmentation mammaplasty, as well as indicating the area that is uncomfortable, and most have mild to moderate pain for the first 6-8 hours after surgery. After this the amount of pain subsides, and by the time they are seen the next day for their follow up examination, the pain has become more of a discomfort than actual pain.
Other sites of discomfort or pain may involve the breast bone (sternal pain), the area under the collar bone, the sides of the chest, sometimes extending as far as the armpits, and between the shoulder blades. (Published data: Pacik, P., et al Aesthetic Surgery Journal, in press. Expected publication date: November 2008.) We have found that the pain control catheters developed in our office are effective both for breast pain, and others sites that may be involved. By instilling a long acting local anesthetic (lasts 6-8 hours) patients have control over when they desire to use this medication. This can then be supplemented with other analgesics, so that after breast enlargement surgery, patients have the ability to maintain pain control every 2 hours.
Except from a testimonial of one of our breast enlargement patients:
When they tell you it’s very painful, don’t take it lightly. I’m very grateful that Dr. Pacik was pro-active with all the medications prescribed to me before surgery. With the pain medication prescribed, I do have to say that the pain medicine in the catheters was the most helpful. I found that the medicine went right to the source of the pain and there was almost instant relief once massaged into the breasts. Dr. Pacik gives you the option to leave the catheters in for an extra day and my advice if you still feeling pain or discomfort, leave them in. I’m glad I did!
To read this patients entire testimonial, please click here.
Contact Us for More Information
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website on Breast Enlargements for more information or use the online contact form to send an inquiry. LATE AFTERNOON & EVENING HOURS NOW AVAILABLE .
Augmentation Mammaplasty: Pain Control
Posted by: Peter T. Pacik, MD, FACS
We now have over 700 consecutive patients in our ongoing pain control study. Indwelling catheters allow patients to self administer local anesthesia after breast enlargement surgery. We have found this to be very effective and our study has shown that the effectiveness is comparable to narcotics. (Published data Pacik, P., et al Aesthetic Surgery Journal, May 2008)
All of our patients are called the evening after their surgery, and many patients have been helped by this device. We review their pain control scores the next morning when seen for their first follow up examination, and we note the degree of pain improvement after the local anesthesia has been instilled into the catheters. Most of the time the catheters are removed at this time, though about 15% of patients ask that the pain control catheters remain an additional day. In this way patients who are somewhat more uncomfortable after breast enlargement surgery or patients who are afraid of experiencing pain have additional pain control available to them.
The pain control catheters were developed at our office so that patients can treat their pain at the site of pain without having to narcotize their bodies. With almost 12 years of experience, we cannot imagine doing the surgery without these devices.
The following is a testimonial from a patient whom had an augmentation mammaplasty and used the pain catheters for 24 hours following surgery.
I am writing this letter to thank and advise you about the results of an elective pain control study I chose to participate in with regards to a recent augmentation mammaplasty surgery recently performed by you. The self-administered local anesthesia that was available for use at home in conjunction with other pain control medication was well beyond any expectations I had anticipated for relief of pain. The procedure was very easy to use, extremely convenient, and had almost immediate pain relief results. I cannot express enough the benefit and relief I received from this self-administered anesthesia. I would highly recommend this procedure to any of your patients who elect to have similar surgical procedures of this nature.
Again, thank you for your superior surgical procedure and all the support you and your staff have given post surgery.
Contact Us for More Information
For confidential personalized information and advice, please call us at 1-800-640-0290 during business hours: Monday through Thursday 8:30 a.m. - 4:30 p.m. and Friday 8:30 a.m. - 4 p.m. EST. You can also visit our website on pain after breast enlargement for more information or use the online contact form to send an inquiry. LATE AFTERNOON & EVENING HOURS NOW AVAILABLE .



