Mastectomy with Sentinel Lymph Node Biopsy and Prosthetic Breast Reconstruction under Hypnosis Analgesia: A Multistep Approach

Coyette M, Gerdom A, Watremez C, Docquier MA, Roelants F, Lengele B and Berlière M

Department of Plastic and Reconstructive, Cliniques Universitaires Saint-Luc, Belgium
Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Belgium
Department of Gynaecology, Cliniques Universitaires Saint-Luc, Belgium

^*Correspondance to: Berliere Martine 

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Abstract:

With the multimodal therapeutic approach, survival rates have increased among breast cancer patients. However, the use of different treatment modalities is associated with non negligible side effects that might discourage patients to continue their treatment, essentially adjuvant endocrine therapy. Surgical procedures along with general anesthesia are still associated with significant side effects: acute and chronic pain, distress, asthenia, nausea and sometimes vomiting which might discourage the patient from considering having a breast reconstruction. We report here the case of a highly motivated patient undergoing radical modified mastectomy and sentinel lymph node biopsy, while under hypnosis analgesia and loco regional anesthesia (interpectoral level 2 block). The different steps of secondary prosthetic breast reconstruction were also performed while under hypnosis analgesia. The patient’s experience was very positive with anxiety and pain scores measured at a very low level. Recovery time was also shortened, compared to patients undergoing the same procedures while under general anesthesia and loco-regional anesthesia.

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Cite the Article:

Coyette M, Gerdom A, Watremez C, Docquier MA, Roelants F, Lengele B, et al. Mastectomy with Sentinel Lymph Node Biopsy and Prosthetic Breast Reconstruction under Hypnosis Analgesia: A Multistep Approach. Clin Oncol. 2018; 3: 1545.