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Pain Management in Breast Surgery 

Pain Management in Breast Surgery
Chapter:
Pain Management in Breast Surgery
Author(s):

Jarrod T. Bogue

and Christine H. Rohde

DOI:
10.1093/med/9780190457006.003.0010
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date: 01 December 2020

Plastic surgeons frequently perform surgery on the breasts, for both cosmetic and reconstructive purposes. Pain after breast surgery can be a significant issue and is often a source of great concern for patients. Conventional pain control methods rely on opioid pain medications. These medications are plagued by side effects and contribute to opioid misuse, addiction, and abuse. Novel pain control regimens utilizing nonopioid alternatives are paramount to stemming the use of opioids while providing adequate postoperative pain control. Choices for pain control in patients undergoing breast surgery include, but are not limited to, local analgesia, regional blocks, nonpharmacologic options, enhanced recovery protocols, tumescent techniques, and cognitive-behavioral therapies. Multimodal approaches taking advantage of these nonopioid analgesic options are available and evidence-based.

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