Effectiveness of local anaesthetic pain catheters for abdominal donor site analgesia in patients undergoing free lower abdominal flap breast reconstruction: A meta-analysis of comparative studies

@article{Giordano2013EffectivenessOL,
  title={Effectiveness of local anaesthetic pain catheters for abdominal donor site analgesia in patients undergoing free lower abdominal flap breast reconstruction: A meta-analysis of comparative studies},
  author={Salvatore Giordano and Esko Ver{\"a}j{\"a}nkorva and Ilkka O Koskivuo and Erkki A. Suominen},
  journal={Journal of Plastic Surgery and Hand Surgery},
  year={2013},
  volume={47},
  pages={428 - 433}
}
Abstract The use of an infusion pain pump with local wound catheters has increased among different surgical specialities. Autologous breast reconstruction with deep inferior epigastric perforator (DIEP) and transverse rectus abdominis myocutaneous (TRAM) flaps may cause severe abdominal donor site morbidity, and infusion devices delivering local anaesthetic are suggested to improve postoperative analgesia. This study performed a meta-analysis comparing pain pump use vs control to evaluate this… 
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28 Citations

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Local anesthetic pain catheters to reduce opioid use in massive weight loss patients undergoing abdominoplasty: A comparative study.
Transversus Abdominis Plane Block Reduces Morphine Consumption in the Early Postoperative Period following Microsurgical Abdominal Tissue Breast Reconstruction: A Double-Blind, Placebo-Controlled, Randomized Trial
TLDR
Following abdominally based breast reconstruction, transversus abdominis plane peripheral nerve block is safe and significantly reduces morphine consumption in the early postoperative period.
Review of the analgesia options for patients undergoing TRAM and DIEP flap breast reconstruction
TLDR
Various anaesthetic techniques are used to reduce postoperative mortality in autologous breast reconstruction and knowledge of these techniques is paramount as it reduces complications and expedites discharge in this group of patients.
Donor-site local anaesthetic infusion catheter as an opioid-sparing agent in free flap reconstruction of the head and neck: a valuable adjunct to an enhanced recovery protocol.
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Does surgical procedure type impact postoperative pain and recovery in deep inferior epigastric artery perforator flap breast reconstruction?
TLDR
A novel finding of this study was that bipedicled DIEP flap harvest might be associated with lower early postoperative morphine requirements, and bilateral and bipedal procedures in appropriate patients might therefore be undertaken without significantly increased pain/morbidity compared to unilateral unipedicled reconstructions.
Efficacy of ultrasound-guided transversus abdominis plane block in breast reconstruction surgery with abdominal myocutaneous flap
TLDR
US-guided bilateral TAPB resulted in lower opioid consumption and better pain control in unilateral breast reconstruction surgery with TRAM, and globally no significant differences were identified between both groups.
Introducing the fast track surgery principles can reduce length of stay after autologous breast reconstruction using free flaps: A case control study
TLDR
By introducing a simple, peri- and postoperative care concept it is possible to reduce LOS after microsurgery by at least 1 day without an increase in complications or flap loss.
Transversus Abdominis Plane Blocks with Single-Dose Liposomal Bupivacaine in Conjunction with a Nonnarcotic Pain Regimen Help Reduce Length of Stay following Abdominally Based Microsurgical Breast Reconstruction
TLDR
When used as part of a nonnarcotic postoperative pain regimen, transversus abdominis plane blocks performed with single injections of liposomal bupivacaine help facilitate early hospital discharge after abdominally based microsurgical breast reconstruction.
Transversus Abdominis Plane Blocks in Microsurgical Breast Reconstruction: A Systematic Review and Meta-analysis.
TLDR
While the current data support the use of TAP blocks in autologous breast reconstruction, additional studies with more standardized protocols should be performed to determine the most optimal practice.
Perioperative pain management after fibular free flap harvesting for head‐and‐neck reconstruction using mini‐catheters to inject local anesthetic: A pilot study
TLDR
Evaluation of the efficacy of mini‐catheters used to inject local anesthetic into the fibular donor site after flap harvesting for reconstruction of the head‐and‐neck area is evaluated.
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References

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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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