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09 May 2017
Thoracic paravertebral block (TPB) can be administered for VATS (video-assisted thoracic surgery) method and often used for analgesic purposes and provides good results. Awake VATS (AVATS) has been

EFFECTIVENESS OF LIDOCAINE/PRILOCAINE CREAM ON PERCEIVED PAIN DURING MAMMOGRAPHY: A PILOT STUDY

Arzu Akan Atalay1, Serife Simsek2, Sedat Kamalı1, Serdar Gökay Terzioğlu3, Murat Özgür Kılıç3

1) Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, Turkey.

2) Department of Breast Surgery, Emirates Hospital Abu-Dhabi-Dubai, UAE.

3) Department of General Surgery, Numune Training and Research Hospital, Ankara, Turkey.

Disclosure: The author has declared no conflicts of interest.

Received: 27.01.16 Accepted: 17.02.16

Citation: doi:10.5455/ijsm.mammography

Abstract:

Background: Mammography (MG) is an important imaging method in the diagnosis of breast diseases. However, pain during MG is an uncomfortable factor for the majority of women.
Aim: The aim of this study is to determine the effectiveness of lidocaine/prilocaine cream on reducing pain during mammography.
Methods: This is a prospective clinical study. A total of 60 female patients who had mammographic examination were equally divided into three groups; patients receiving 10 g EMLA cream (EMLA group), patients receiving 10 g Bepanthen cream (placebo group), and patients not receiving any cream (control group). Pain levels were assessed by using visual analogue scale (VAS) before and after MG.
RESULTS: Each group was statistically similar in terms of basic patient characteristics. There was also no significant difference between the pre-MG VAS scores of the three groups (p = 0.996). On the other hand, VAS scores during MG was found significantly different between the groups (p = 0.001). When the groups were compared in pairs, the patients in EMLA group had significantly less post-MG VAS score than the Bepanthen and control groups (p = 0.001). There was no significant difference between Bepanthen and control groups (p = 0.678).
CONCLUSION: To our knowledge, this is the first study demonstrating that a topical anaesthetic, EMLA, provides an effective analgesia during MG. Reducing the pain can change women’s preconceptions regarding MG.

Abstract & Fulltext

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