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Clinical Trial Summary

RATIONALE: New surgery techniques may lessen pain after breast surgery. It is not yet known whether tumescent mastectomy or standard mastectomy results in less pain in women with breast cancer.

PURPOSE: This clinical trial is studying pain after tumescent mastectomy compared with pain after standard mastectomy in women with stage I, stage II, or stage III breast cancer.


Clinical Trial Description

OBJECTIVES:

Primary

- To compare post-operative pain after tumescent vs standard mastectomy in women with stage I-III breast cancer.

Secondary

- To compare the total time of operation from incision to completion of wound closure.

- To compare the time of operation from first incision to completion of skin flaps.

- To compare the total estimated blood loss.

- To compare the number of days the Jackson-Pratt drain is left in place under skin flaps with wound drainage > 30 mL/24 hours.

- To compare the incidence of wound complications such as skin necrosis, hematoma, cellulitis, abscess, and seroma between groups.

OUTLINE: Patients are grouped according to which surgeon provided their evaluation and treatment recommendations.

- Group 1: Patients undergo standard mastectomy.

- Group 2: Patients undergo tumescent mastectomy. All patients receive standardized post-operative pain management comprising morphine sulfate for analgesia or an equivalent dose of hydromorphone hydrochloride for 24 hours following surgery. Patients then receive 1-2 oral acetaminophen/oxycodone hydrochloride combination tablets (or a comparable amount of another narcotic/acetaminophen combination) every 6 hours as needed. Pain is assessed using the Short-form McGill Pain Questionnaire (SF-MPQ). ;


Study Design


Related Conditions & MeSH terms


NCT number NCT00859157
Study type Observational
Source University of California, Davis
Contact
Status Completed
Phase N/A
Start date October 2008
Completion date January 2014

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