Improving XXXX management in subpectoral tissue expander implant reconstruction of the breast using an elastomeric pump.

@entity1 @entity282 @entity158 @entity137
Introduction @entity282 after breast surgery is one of the major factors contributing to delay in mobilisation and prolonged hospital stay. A retrospective analysis was performed of @entity1 undergoing skin sparing mastectomy and insertion of a subpectoral implant. The aim was to determine whether the use of an elastomeric local anaesthetic pump improved @entity158 control and length of stay. Methods Twenty-five consecutive @entity1 undergoing the above procedure were sited with an elastomeric local anaesthetic infusion pump intraoperatively, in addition to standard regular and pro re nata analgesia. The control group comprised 25 @entity1 undergoing the same procedure in the same year who received standard analgesia alone. Visual analogue scale scores were recorded for the duration of inpatient stay, as was any further analgesic requirement. Results The median age was 51 years (range: 26-75 years) in the intervention group and 50 years (range: 28-70 years) in the control group. The mean visual analogue scale score was 0.28 (standard deviation [SD]: 0.61) at 24 hours for the intervention group and 1.84 (SD: 0.37) for the control group (p<0.0001). The mean length of stay was 1.8 days (SD: 0.71 days) for the intervention group and 2.28 days (SD: 0.94 days) for the control group (p=0.15). There were no complications involving catheter placement, leakage or @entity137 relating to use of the local anaesthetic. Conclusions There was significantly reduced @entity158 with the use of the local anaesthetic infusion pump. The elastomeric pump is a step towards enhanced @entity1 recovery after breast surgery in the case of skin sparing mastectomy and subpectoral tissue expander reconstruction.
