Ultrasound Guided Thermal Versus Pulsed Radiofrequency Application of Stellate Ganglion in Post Mastectomy Pain
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- Category: Vol. 84, December 2016
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Ultrasound Guided Thermal Versus Pulsed Radiofrequency Application of Stellate Ganglion in Post Mastectomy Pain, MOHAMED H. HENDY, DINA N. ABBAS, KHALED A. MOSTAFA,RAFAAT M. REYAD and TAHER S. THABET
Abstract
Objective: To evaluate the efficacy and safety of Thermal versus pulsed radiofrequency application of Stellate ganglion in postmastectomy pain.
Methodology: 60 patients randomly integrated into 2 equal groups:
Group (A): Pulsed and Group (B): Thermal R.F therapy was by ultrasound guidance. Patients were assessed for pain relief (VAS score) at 1st day then 1 and 3 months after. Oxycodone and pregabalin consumption were assessed prior to block and at 3 months.
Results: Percentage of patients who had complete pain response was significantly higher in thermal group than pulsed group at first day, first month and three months. There is significant higher number of patients with higher percentage reduction of pregabalin and oxycontin consumption in the thermal group compared to the pulsed group.
Conclusion: Thermal RF of the Stellate ganglion is a safe and successful treatment for cancer patients with postmastec-tomy pain. It appears to be more effective than pulsed RF of the Stellate ganglion.