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Targeted Muscle Reinnervation following Breast Surgery: A Novel Technique

Andrew L. O’Brien, Casey T. Kraft, Ian L. Valerio, Juan L. Rendón, J. Spitz, Roman J. Skoracki

2020Plastic & Reconstructive Surgery Global Open26 citationsDOIOpen Access PDF

Abstract

Post-mastectomy pain syndrome is a prevalent chronic pain condition that affects numerous patients following breast surgery. The mechanism of this pain has been proposed to be neurogenic in nature. As such, we propose a novel surgical method for the prophylactic management of postsurgical breast pain: targeted muscle reinnervation of the breast. This article serves to review the relevant current literature of post-mastectomy pain syndrome and targeted muscle reinnervation, describe our current surgical technique for this operation, and present an initial cohort of patients to undergo this procedure.

Topics & Concepts

ReinnervationMedicineMastectomySurgeryBreast cancerInternal medicineCancerNerve Injury and RehabilitationPain Management and TreatmentPain Mechanisms and Treatments
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