Pain and Sensory Symptoms Following Augmentation Mammoplasty: A Long Term Follow-Up Study with Intraoperative Ketamine Use
Abstract
Introduction. Augmentation mammoplasty is a common procedure but pain sequelae and sensory symptoms are unknown.
Objective. To assess the impact of using perioperative Ketamine for painful sequelae and neurological symptoms in patients undergoing augmentation mammoplasty.
Methodology. Long-term follow-up of a clinical study including 106 patients that underwent cosmetic augmentation mammoplasty to assess the effectiveness of Ketamine for postoperative pain. Pain intensity and the presence/absence of neurological symptoms were recorded.
Results. A total of 50 patients agreed to participate by responding to a telephone interview. The groups did not differ in terms of demographic variables and the surgical technique. Both groups reported a high incidence of moderate/severe pain on the first day and the week following the operation (19 and 21 patients in the Ketamine and placebo groups, respectively), with complete resolution of symptoms after three months. Three participants in the Ketamine group reported persistent hypoesthesia and one reported a burning sensation. These symptoms were slightly more frequent in the placebo group, with 7 patients reporting hypoesthesia and two burning sensation.
Conclusions. In this study, Ketamine had no significant incidence on chronic pain following cosmetic augmentation mammoplasty. There is a trend suggesting that Ketamine could play a role in reducing the neurological symptoms that exceeded the expected frequency (20 %).
References
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