Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report

We present a case of chronic lymphoedema that progressed to Stewart–Treves syndrome in a 63-year-old woman with a previous modified radical mastectomy, associated lymph node dissection, chemotherapy and radiotherapy. While producing stabilisation of most cutaneous lesions initially, chemotherapeutic treatment of the angiosarcoma did not prevent subsequent metastasis and patient death. We urge vigilance and regular follow-up appointments for patients following a mastectomy with chronic lymphoedema to facilitate prevention or early treatment of this devastating syndrome.

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CUTANEOUS LEISHMANIASIS: A CASE REPORT OF A DIAGNOSTIC DILEMMA

10.22541/au.163252740.02365320/v1 ◽

2021 ◽

Author(s):

Prajwal Pudasaini

Keyword(s):

Case Report ◽

Cutaneous Leishmaniasis ◽

Resource Poor Setting ◽

Clinical Form ◽

Diagnostic Dilemma ◽

Resource Poor ◽

Diagnostic Modalities

Cutaneous Leishmaniasis (CL) is the most prevalent clinical form of leishmaniasis. CL is difficult for the clinicians to diagnose because of the rarity of the disease and non-specific presentation. As CL is rare and given the limitation of available diagnostic modalities in a resource poor setting, diagnosis can be confusing.

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Thoracic epidural anesthesia for modified radical mastectomy in carcinoma of breast patient with chronic obstructive pulmonary disease: A case report

International Journal of Case Reports and Images ◽

10.5348/ijcri-2013-10-376-cr-5 ◽

2013 ◽

Vol 4 (10) ◽

pp. 546 ◽

Cited By ~ 1

Author(s):

Balaji Narayan Asegaonkar ◽

Sujata Rahul Zine ◽

Unmesh Vidyadhar Takalkar ◽

Umesh Kulkarni ◽

Shilpa Balaji Asegaonkar ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Case Report ◽

Pulmonary Disease ◽

Epidural Anesthesia ◽

Radical Mastectomy ◽

Thoracic Epidural Anesthesia ◽

Chronic Obstructive ◽

Modified Radical Mastectomy ◽

Obstructive Pulmonary Disease ◽

Thoracic Epidural

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Comparison of the post-operative analgesic effect of paravertebral block, pectoral nerve block and local infiltration in patients undergoing modified radical mastectomy: A randomised double-blind trial

Indian Journal of Anaesthesia ◽

10.4103/ija.ija_81_17 ◽

2017 ◽

Vol 61 (8) ◽

pp. 643 ◽

Cited By ~ 19

Author(s):

Ankita Chandel ◽

Kartik Syal

Keyword(s):

Nerve Block ◽

Analgesic Effect ◽

Radical Mastectomy ◽

Paravertebral Block ◽

Double Blind Trial ◽

Modified Radical Mastectomy ◽

Double Blind ◽

Local Infiltration ◽

Blind Trial ◽

Pectoral Nerve

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Efficacy of combined ultrasound guided Pectoral Nerve Block (PECS I block and PECS II block) using Bupivacaine with or without Magnesium Sulfate in modified radical mastectomy under general anathesia

QJM ◽

10.1093/qjmed/hcab086.051 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Salwa Omar El-Khattab ◽

Mohamed Osman Taeimah ◽

Mahmoud Mohamed Elsayed Seif

Keyword(s):

General Anesthesia ◽

Magnesium Sulfate ◽

Nerve Block ◽

Radical Mastectomy ◽

Modified Radical Mastectomy ◽

Ultrasound Guided ◽

Recording Time ◽

Female Population ◽

Pectoral Nerve ◽

Group I

Abstract Background Breast cancer has continued to be the most common cancer afflicting women, accounting for 31% of all new cancer cases in the female population. Every year, thousands of patients undergo surgery in the region of the breast and axilla. Surgery is one of the mainstays of treatment, and a procedure called modified radical mastectomy (MRM) is now a standard surgical treatment for early-stage breast cancers. Objective To evaluate the Efficacy of combined ultrasound guided Pectoral Nerve Block (PECS I block and PECS II block) using Bupivacaine with or without Magnesium Sulfate in modified radical mastectomy under general anathesia. Patients and Methods After obtaining approval from the medical ethical committee in Ain Shams University This study was conducted in the operating theatres of Ain Shams University Hospitals. It included Thirty Female patients undergoing Modified Radical Mastectomy were divided randomly into two groups, each group consisted of 25 patients group I in which patients received general anesthesia followed by PECS BLOCK using only bupivacaine 0.25 % and group II in which patients received general anesthesia followed by PECS BLOCK using bupivacaine 0.25 % plus magnesium sulfate 50% (200mg). Results The two groups were adequately monitored and assessed post-operatively and they were compared regarding analgesic outcome by using the visual analogue scaling system, besides, recording time for first for analgesic need and total consumption of opioid and analgesic in the 1st 24 postoperative hours. Demographic data and post operative hemodynamics were also assessed. Conclusion The addition of 200 mg of magnesium sulfate to bupivacaine in an ultrasound-guided Pectoral Nerve Block significantly reduce postoperative opioid consumption, prolong the duration of the analgesia, and reduce the VAS score without significant side effects after Modified Radical Mastectomy under general anesthesia.

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