Postoperative Analgesia in Modified Radical Mastectomy Patients After Instillation of Bupivacaine Through Surgical Drains
DOI:
https://doi.org/10.48047/Keywords:
MRM, Breast cancer, surgical drain, Bupivacaine, Postoperative analgesiaAbstract
Background: Modified radical mastectomy (MRM) with axillary lymph node clearance causes acute postoperative pain (40%) and chronic postoperative pain (60%).
Aim and objective: post operative analgesia in MRM surgery through surgical drains.
Methods: This study was conducted on patients undergoing elective surgery of MRM under general anesthesia in Pacific Medical College & Hospital, Udaipur. Patients were divided into two groups, 30 in each. Group B –Group B patients receive 40ml of 0.25% injection bupivacaine.
Group C –Group C patients receive no drug.
Duration of analgesia was recorded in hours when the the patient was shifted after surgery in the post anesthesia care unit until the patient feel pain and discomfort of more than 4 scores according to the visual analog pain scale chart .
Results: All the demographic data were comparable (p value >0.05). The mean period of time during which analgesia was observed was significantly higher in Group B as compared to Group C (9.83±1.71 vs 4.03±1.25 hours, p=0.005).
Conclusion: We hereby concluded that postoperative pain analgesia is improved on instillation of bupivacaine through surgical drain on wound bed in MRM patients.
