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Xiao Ning - One of the best experts on this subject based on the ideXlab platform.

  • Clinic value of modified radical mastectomy preserving Intercostobrachial Nerve
    Journal of Hainan Medical University, 2010
    Co-Authors: Xiao Ning
    Abstract:

    Objective: To discuss the clinic application of modified radical mastectomy preserving IntercostobrachialNerve.Methods: Modified radical mastectomy preserving IntercostobrachialNerve was carried out to 96 cases with breast cancer,including 72 cases with Intercostobrachial Nerve preserved and 24 cases without preservation.Sensation function in media arms was observed.Results: Sixty-six out of 72 cases with Intercostobrachial Nerve preserved had normal sensation in media arms(91.7%),and 6 cases had abnormal sense(8.3%),while all 24 cases without preservation had abnormal sensation(100%).Conclusions: Modified radical mastectomy preserving Intercostobrachial Nerve can effectively prevent sensation disturbance and decrease the incidence of complication.It has no effect on radical cure of surgery and can improve the qulity of patients' life.

Eija Kalso - One of the best experts on this subject based on the ideXlab platform.

  • What makes surgical Nerve injury painful? A 4-year to 9-year follow-up of patients with Intercostobrachial Nerve resection in women treated for breast cancer.
    Pain, 2019
    Co-Authors: Laura Mustonen, Tommi Aho, Hanna Harno, Reetta Sipilä, Tuomo J. Meretoja, Eija Kalso
    Abstract:

    Nerve injury during breast cancer surgery can cause neuropathic pain (NP). It is not known why some, but not all, patients develop chronic postsurgical neuropathic pain (CPSNP) after the same Nerve injury. In this study, we examined 251 breast cancer survivors with surgeon-verified Intercostobrachial Nerve resection to identify factors that associate with CPSNP. The patients were recruited from a previous study of 1000 women treated for breast cancer in 2006 to 2010. This enabled us to analyze preoperative factors that associate with future CPSNP. The patients were re-examined in 2014 to 2016 to diagnose CPSNP using the revised NP diagnostic criteria. Preoperative assessments were pain in the area to be operated on, any chronic pain condition, depressive symptoms, anxiety, sleep, and experimental cold pain sensitivity using the cold pressor test (CPT). Follow-up assessments were CPT, psychological factors, sleep, any chronic pain, and basic laboratory tests. One hundred thirty-seven (55%) patients with Intercostobrachial Nerve resection fulfilled CPSNP diagnostic criteria after 4 to 9 years. Of them, 30 patients (22%) had moderate to severe pain in self-reports and 86 (63%) presented moderate to severe evoked pain at examination. Preoperative pain in the surgical area, other chronic pains, and breast-conserving surgery were associated with future CPSNP. Other chronic pains, increased psychological burden, and insomnia, both before surgery and at the follow-up, were associated with CPSNP. Preoperative CPT did not associate with future CPSNP. Patients with established CPSNP showed increased pain sensitivity in CPT and higher levels of inflammatory markers, suggesting that central sensitization and inflammation may associate with the maintenance of CPSNP.

N J Bundred - One of the best experts on this subject based on the ideXlab platform.

  • prospective randomized controlled trial of preservation of the Intercostobrachial Nerve during axillary node clearance for breast cancer
    British Journal of Surgery, 1999
    Co-Authors: T I Abdullah, J Iddon, L Barr, A D Baildam, N J Bundred
    Abstract:

    Background Complications of axillary surgery occur due to severance of the Intercostobrachial Nerve (ICBN). The feasibility and benefit of preserving the ICBN to prevent sensory loss was studied prospectively. Methods Sensory symptoms and deficits were documented, and shoulder movement and arm circumference were measured at discharge and 3 months later in 120 patients randomized to either preservation or division of the ICBN. Results Preserving the ICBN was feasible in 39 (65 per cent) of the 60 patients randomized to the preservation group. Preserving the Nerve prolonged the procedure by a median of 5 min. No difference in sensory symptoms between the groups was seen at 3 months. At 3 months 53 per cent of patients randomized to ICBN preservation had a sensory deficit compared with 84 per cent of those randomized to ICBN sacrifice (P≤0.05). Conclusion Preserving the ICBN reduces the incidence of sensory deficit (but not symptoms) in patients after axillary clearance.

Pasuk Mahakkanukrauh - One of the best experts on this subject based on the ideXlab platform.

  • cadaveric study identifying clinical sonoanatomy for proximal and distal approaches of ultrasound guided Intercostobrachial Nerve block
    Regional Anesthesia and Pain Medicine, 2020
    Co-Authors: Artid Samerchua, Prangmalee Leurcharusmee, Krit Panjasawatwong, Kittitorn Pansuan, Pasuk Mahakkanukrauh
    Abstract:

    Background and objectives The Intercostobrachial Nerve (ICBN) has significant anatomical variation. Localization of the ICBN requires an operator’s skill. This cadaveric study aims to describe two simple ultrasound-guided plane blocks of the ICBN when it emerges at the chest wall (proximal approach) and passes through the axillary fossa (distal approach). Methods The anatomical relation of the ICBN and adjacent structures was investigated in six fresh cadavers. Thereafter, we described two potential techniques of the ICBN block. The proximal approach was an injection medial to the medial border of the serratus anterior muscle at the inferior border of the second rib. The distal approach was an injection on the surface of the latissimus dorsi muscle at 3–4 cm caudal to the axillary artery. The ultrasound-guided proximal and distal ICBN blocks were performed in seven hemithoraxes and axillary fossae. We recorded dye staining on the ICBN, its branches and clinically correlated structures. Results All ICBNs originated from the second intercostal Nerve and 34.6% received a contribution from the first or third intercostal Nerve. All ICBNs gave off axillary branches in the axillary fossa and ran towards the posteromedial aspect of the arm. Following the proximal ICBN block, dye stained on 90% of all ICBN’s origins. After the distal ICBN block, all terminal branches and 43% of the axillary branches of the ICBN were stained. Conclusions The proximal and distal ICBN blocks, using easily recognized sonoanatomical landmarks, provided consistent dye spread to the ICBN. We encourage further validation of these two techniques in clinical studies.

Mohannad Alnajjar - One of the best experts on this subject based on the ideXlab platform.

  • Ultrasound imaging accurately identifies the Intercostobrachial Nerve
    2016
    Co-Authors: Ahmed K. Thallaj, Mohammad Al K. Harbi, Tariq A. Alzahrani, Salah N. El-tallawy, Abdulaziz A. Alsaif, Mohannad Alnajjar
    Abstract:

    Objectives: To test the hypothesis that identification and blockade of the Intercostobrachial Nerve (ICBN) can be achieved under ultrasound (US) guidance using a small volume of local anesthetic. Methods: Twenty-eight adult male volunteers wer

  • Ultrasound imaging accurately identifies the Intercostobrachial Nerve
    Saudi medical journal, 2015
    Co-Authors: Ahmed K. Thallaj, Salah N. El-tallawy, Abdulaziz A. Alsaif, Mohammad K. Al Harbi, Tariq Alzahrani, Mohannad Alnajjar
    Abstract:

    Objective:  To test the hypothesis that identification and blockade of the Intercostobrachial Nerve ( ICBN) can be achieved under ultrasound (US) guidance using a small volume of local anesthetic. Methods:  Twenty-eight adult male volunteers were examined at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia from November 2012 to September 2013. Intercostobrachial Nerve blockade was performed using one ml of 2% lidocaine under US guidance. A sensory map of the blocked area was developed relative to the medial aspect of the humeral head. Results:  The ICBN appears as a hyper-echoic structure. The Nerve diameter was 2.3±0.28 mm, and the depth was 9±0.28 mm. The measurements of the sensory-blocked area relative to the medial aspect of the humeral head were as follows: 6.3±1.6 cm anteriorly; 6.2±2.9 cm posteriorly; 9.4±2.9 cm proximally; and 9.2±4.4 cm distally. I ntercostobrachial Nerve blockade using one ml of local anesthetic was successful in all cases. Conclusion:  The present study described the sonographic anatomical details of the ICBN and its sensory distribution to successfully perform selective US-guided ICBN blockade. Saudi Med J 2015; Vol. 36 (10): 1241-1244 doi: 10.15537/smj.2015.10.11758

  • Ultrasound imaging accurately identifies the Intercostobrachial Nerve
    Ministry of Defence and Aviation, 2015
    Co-Authors: Ahmed K. Thallaj, Mohammad Al K. Harbi, Tariq A. Alzahrani, Salah N. El-tallawy, Abdulaziz A. Alsaif, Mohannad Alnajjar
    Abstract:

    Objectives: To test the hypothesis that identification and blockade of the Intercostobrachial Nerve (ICBN) can be achieved under ultrasound (US) guidance using a small volume of local anesthetic. Methods: Twenty-eight adult male volunteers were examined at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia from November 2012 to September 2013. Intercostobrachial Nerve blockade was performed using one ml of 2% lidocaine under US guidance. A sensory map of the blocked area was developed relative to the medial aspect of the humeral head. Results: The ICBN appears as a hyper-echoic structure. The Nerve diameter was 2.3±0.28 mm, and the depth was 9±0.28 mm. The measurements of the sensory-blocked area relative to the medial aspect of the humeral head were as follows: 6.3±1.6 cm anteriorly; 6.2±2.9 cm posteriorly; 9.4±2.9 cm proximally; and 9.2±4.4 cm distally. Intercostobrachial Nerve blockade using one ml of local anesthetic was successful in all cases. Conclusion: The present study described the sonographic anatomical details of the ICBN and its sensory distribution to successfully perform selective US-guided ICBN blockade