The efficacy of norepinephrine application in Mammotome-assisted minimally invasive resection for benign breast neoplasm: A retrospective study
Abstract Objective Although Mammotome-assisted minimally invasive resection (MAMIR) has been widely accepted for treating breast benign nodules, the procedure remains very technical and challenging. The present study aimed to assess the efficacy of norepinephrine application in MAMIR concerning intr...
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2024-12-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02701-y |
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| author | Yafei Sun Zipeng Xu Jing Hu Lina You Chaobo Chen |
| author_facet | Yafei Sun Zipeng Xu Jing Hu Lina You Chaobo Chen |
| author_sort | Yafei Sun |
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| description | Abstract Objective Although Mammotome-assisted minimally invasive resection (MAMIR) has been widely accepted for treating breast benign nodules, the procedure remains very technical and challenging. The present study aimed to assess the efficacy of norepinephrine application in MAMIR concerning intraoperative hemorrhage, postoperative pain and postoperative hospitalization. Methods A total of 306 patients with breast nodules admitted at the Xishan people’s Hospital of Wuxi City between June 2021 and July 2023 were included in this retrospective cohort study. The patient’s age, comorbidities (hypertension and diabetes), and characteristics of the breast nodule (number, unilateral or bilateral nature, inner quadrant volume and total volume) were all meticulously documented. Operation time, intraoperative hemorrhage, postoperative hospitalization and Visual analogue scale(VAS) score (postoperative 6-hour pain score) were recorded. Based on the application of norepinephrine, patients were categorized into non-NPP(norepinephrine) and NPP group. Univariate and multivariate analyses were performed to estimate the odds ratio (OR) and the 95% confidence intervals (CIs) for outcomes. Results A total of 155 who accepted MAMIR were included in this study. The NPP group exhibited reduced intraoperative bleeding, diminished postoperative pain, and a shorter duration of hospitalization (p < 0.05). Univariable analysis indicated that usage of norepinephrine during operation helped to reduce intraoperative hemorrhage (OR = 0.14, 95%CI: 0.07–0.31), alleviate postoperative pain(OR = 0.03, 95%CI: 0.01–0.09) and shorten hospital stay(OR = 0.50, 95%CI: 0.26–0.95). Furthermore, multivariate analysis identified the usage of norepinephrine during MAMIR as an independent factor associated with reducing intraoperative hemorrhage (OR = 0.11, 95%CI: 0.05–0.26) and relieving postoperative pain (OR = 0.02, 95%CI: 0.004–0.08) after adjusting for other factories. Conclusions Norepinephrine could help to reduce postoperative hospitalization and intraoperative hemorrhage, also relieve postoperative pain for breast benign nodules resection, which was an independent protective factor for relieving postoperative pain and reducing intraoperative hemorrhage. |
| format | Article |
| id | doaj-art-b147ad9b0d9844d2afdf4db7b731736e |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-b147ad9b0d9844d2afdf4db7b731736e2024-12-22T12:10:15ZengBMCBMC Surgery1471-24822024-12-012411810.1186/s12893-024-02701-yThe efficacy of norepinephrine application in Mammotome-assisted minimally invasive resection for benign breast neoplasm: A retrospective studyYafei Sun0Zipeng Xu1Jing Hu2Lina You3Chaobo Chen4Department of General Surgery, Xishan People’s Hospital of Wuxi CityDepartment of General Surgery, Xishan People’s Hospital of Wuxi CityDepartment of Postpartum Rehabilitation Center, Xishan People’s Hospital of Wuxi CityDepartment of Postpartum Rehabilitation Center, Xishan People’s Hospital of Wuxi CityDepartment of General Surgery, Xishan People’s Hospital of Wuxi CityAbstract Objective Although Mammotome-assisted minimally invasive resection (MAMIR) has been widely accepted for treating breast benign nodules, the procedure remains very technical and challenging. The present study aimed to assess the efficacy of norepinephrine application in MAMIR concerning intraoperative hemorrhage, postoperative pain and postoperative hospitalization. Methods A total of 306 patients with breast nodules admitted at the Xishan people’s Hospital of Wuxi City between June 2021 and July 2023 were included in this retrospective cohort study. The patient’s age, comorbidities (hypertension and diabetes), and characteristics of the breast nodule (number, unilateral or bilateral nature, inner quadrant volume and total volume) were all meticulously documented. Operation time, intraoperative hemorrhage, postoperative hospitalization and Visual analogue scale(VAS) score (postoperative 6-hour pain score) were recorded. Based on the application of norepinephrine, patients were categorized into non-NPP(norepinephrine) and NPP group. Univariate and multivariate analyses were performed to estimate the odds ratio (OR) and the 95% confidence intervals (CIs) for outcomes. Results A total of 155 who accepted MAMIR were included in this study. The NPP group exhibited reduced intraoperative bleeding, diminished postoperative pain, and a shorter duration of hospitalization (p < 0.05). Univariable analysis indicated that usage of norepinephrine during operation helped to reduce intraoperative hemorrhage (OR = 0.14, 95%CI: 0.07–0.31), alleviate postoperative pain(OR = 0.03, 95%CI: 0.01–0.09) and shorten hospital stay(OR = 0.50, 95%CI: 0.26–0.95). Furthermore, multivariate analysis identified the usage of norepinephrine during MAMIR as an independent factor associated with reducing intraoperative hemorrhage (OR = 0.11, 95%CI: 0.05–0.26) and relieving postoperative pain (OR = 0.02, 95%CI: 0.004–0.08) after adjusting for other factories. Conclusions Norepinephrine could help to reduce postoperative hospitalization and intraoperative hemorrhage, also relieve postoperative pain for breast benign nodules resection, which was an independent protective factor for relieving postoperative pain and reducing intraoperative hemorrhage.https://doi.org/10.1186/s12893-024-02701-yBreast nodulesNorepinephrineMammotomeMinimally invasive surgeryRetrospective study |
| spellingShingle | Yafei Sun Zipeng Xu Jing Hu Lina You Chaobo Chen The efficacy of norepinephrine application in Mammotome-assisted minimally invasive resection for benign breast neoplasm: A retrospective study BMC Surgery Breast nodules Norepinephrine Mammotome Minimally invasive surgery Retrospective study |
| title | The efficacy of norepinephrine application in Mammotome-assisted minimally invasive resection for benign breast neoplasm: A retrospective study |
| title_full | The efficacy of norepinephrine application in Mammotome-assisted minimally invasive resection for benign breast neoplasm: A retrospective study |
| title_fullStr | The efficacy of norepinephrine application in Mammotome-assisted minimally invasive resection for benign breast neoplasm: A retrospective study |
| title_full_unstemmed | The efficacy of norepinephrine application in Mammotome-assisted minimally invasive resection for benign breast neoplasm: A retrospective study |
| title_short | The efficacy of norepinephrine application in Mammotome-assisted minimally invasive resection for benign breast neoplasm: A retrospective study |
| title_sort | efficacy of norepinephrine application in mammotome assisted minimally invasive resection for benign breast neoplasm a retrospective study |
| topic | Breast nodules Norepinephrine Mammotome Minimally invasive surgery Retrospective study |
| url | https://doi.org/10.1186/s12893-024-02701-y |
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