The Application Of Thoracic Paravertebral Nerve Block In Breast Surgery

Breast surgery is frequently associated with postoperative pain,nausea and vomiting,that result in increased patient's suffering prolongation of hospital stays and related costs.Thoracic paravertebral block(TPVB)has been widely used clinically in breast surgery as an important part of classic multimodal analgesia due to its enhanced anesthesia and postoperative analgesia.This article summarizes the application research progressof the TPVB technology in breast surge.This technique is associated with a superior control of the pain,a reduction in opioids consumption after surgery,a decrease in postoperative nausea and vomiting,and an overall decrease in length of hospital stay.In particular TPVB seems to provide the most benefits in patients undergoing an unilateral or bilateral mastectomy followed by immediate reconstruction.There are also studies have shown that the application of TPVB can reduce postoperative recurrence and metastasis of breast cancer patients.With the development of nerve block technology and the application of ultrasound,there are also more peripheral block techniques used in breast surgery to provide more choices for perioperative analgesia.