Shoulder function following latissumus dorsi flap reconstruction with perioperative regional block
Association of Breast Surgery ePoster Library. Samake M. 05/13/19; 257089; P045
Maurice Samake
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P045
Topic: Breast surgery
Introduction: Extended Latissimus dorsi (ELD) reconstruction is a straight forward autologous reconstruction however it has historically been associated with a degree of shoulder morbidity. Since the introduction of perioperative regional blocks with accelerated recovery and discharge anecdotally this seems to have improved. Aim: To assess the rate of shoulder dysfunction in patients who underwent regional anaesthetics assisted LD breast reconstruction.Method: LREC/HRA approved patient questionnaire study of a single breast unit's consecutive ELD patients who received supplementary regional block (Paravertebral, Interpleural or combination Pec block). Outcome measured via validated postal Disability of Arm and Hand (DASH) questionnaire. Results: 41 female patients were approached for this study, 32 responses (78%) Mean age 59 (32-71), mean follow up of 18 months (4-31), mean DASH Score in cohort = 13.2 (0-52.6), 25/32 patients had scores between 0 and 20. (Normal population mean DASH = 10.1).Conclusion:The majority of patients undergoing ELD reconstruction with perioperative regional block have minimal shoulder dysfunction. This snap shot study will be the basis of an extended prospective study. DASH Score DistributionDASH score range0-1011-2021-3031-4041-5051-60Number of patients1593211
Topic: Breast surgery
Introduction: Extended Latissimus dorsi (ELD) reconstruction is a straight forward autologous reconstruction however it has historically been associated with a degree of shoulder morbidity. Since the introduction of perioperative regional blocks with accelerated recovery and discharge anecdotally this seems to have improved. Aim: To assess the rate of shoulder dysfunction in patients who underwent regional anaesthetics assisted LD breast reconstruction.Method: LREC/HRA approved patient questionnaire study of a single breast unit's consecutive ELD patients who received supplementary regional block (Paravertebral, Interpleural or combination Pec block). Outcome measured via validated postal Disability of Arm and Hand (DASH) questionnaire. Results: 41 female patients were approached for this study, 32 responses (78%) Mean age 59 (32-71), mean follow up of 18 months (4-31), mean DASH Score in cohort = 13.2 (0-52.6), 25/32 patients had scores between 0 and 20. (Normal population mean DASH = 10.1).Conclusion:The majority of patients undergoing ELD reconstruction with perioperative regional block have minimal shoulder dysfunction. This snap shot study will be the basis of an extended prospective study. DASH Score DistributionDASH score range0-1011-2021-3031-4041-5051-60Number of patients1593211
P045
Topic: Breast surgery
Introduction: Extended Latissimus dorsi (ELD) reconstruction is a straight forward autologous reconstruction however it has historically been associated with a degree of shoulder morbidity. Since the introduction of perioperative regional blocks with accelerated recovery and discharge anecdotally this seems to have improved. Aim: To assess the rate of shoulder dysfunction in patients who underwent regional anaesthetics assisted LD breast reconstruction.Method: LREC/HRA approved patient questionnaire study of a single breast unit's consecutive ELD patients who received supplementary regional block (Paravertebral, Interpleural or combination Pec block). Outcome measured via validated postal Disability of Arm and Hand (DASH) questionnaire. Results: 41 female patients were approached for this study, 32 responses (78%) Mean age 59 (32-71), mean follow up of 18 months (4-31), mean DASH Score in cohort = 13.2 (0-52.6), 25/32 patients had scores between 0 and 20. (Normal population mean DASH = 10.1).Conclusion:The majority of patients undergoing ELD reconstruction with perioperative regional block have minimal shoulder dysfunction. This snap shot study will be the basis of an extended prospective study. DASH Score DistributionDASH score range0-1011-2021-3031-4041-5051-60Number of patients1593211
Topic: Breast surgery
Introduction: Extended Latissimus dorsi (ELD) reconstruction is a straight forward autologous reconstruction however it has historically been associated with a degree of shoulder morbidity. Since the introduction of perioperative regional blocks with accelerated recovery and discharge anecdotally this seems to have improved. Aim: To assess the rate of shoulder dysfunction in patients who underwent regional anaesthetics assisted LD breast reconstruction.Method: LREC/HRA approved patient questionnaire study of a single breast unit's consecutive ELD patients who received supplementary regional block (Paravertebral, Interpleural or combination Pec block). Outcome measured via validated postal Disability of Arm and Hand (DASH) questionnaire. Results: 41 female patients were approached for this study, 32 responses (78%) Mean age 59 (32-71), mean follow up of 18 months (4-31), mean DASH Score in cohort = 13.2 (0-52.6), 25/32 patients had scores between 0 and 20. (Normal population mean DASH = 10.1).Conclusion:The majority of patients undergoing ELD reconstruction with perioperative regional block have minimal shoulder dysfunction. This snap shot study will be the basis of an extended prospective study. DASH Score DistributionDASH score range0-1011-2021-3031-4041-5051-60Number of patients1593211
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