Overview
Complications after mastectomy include chronic pain and depression.
Description
A mastectomy is surgery could be associated with complications include chronic pain and depression. In female breast cancer patients, the incidence of postoperative depression was 46.55%. Stellate ganglion block had been used for treating post-traumatic stress disorder (PTSD) and depression symptoms even in its prevention. Also, it used in treatment of chronic pain.
Eligibility
Inclusion Criteria:
- Female patients
- Age ranging from 18 to 65 years
- American Society of Anesthesiologists (ASA) no more than II
- Had unilateral cancer breast
- Scheduled to do unilateral modified radical mastectomy
Exclusion Criteria:
- Pregnant female
- Existing Horner syndrome
- Had any neuromuscular disease
- Had allergy to local anesthetics
- History of use of analgesics
- Had any deformity or a previous surgery in the neck or ipsilateral arm or breast
- Had any contraindication to the procedure (coagulation disorders, local infection, sepsis)
- Had any contraindication to the sympathetic blockade (decompensate cardiopulmonary or hemodynamic disorders)
- History of psychotic disorder including depression, bipolar disorder or personality disorder
- Patient with Beck Depression Inventory (BDI) score more than 13