Asunto(s)
Neoplasias de la Mama/cirugía , Bloqueo Nervioso/métodos , Dolor Postoperatorio/prevención & control , Náusea y Vómito Posoperatorios/prevención & control , Adulto , Anciano , Amidas , Analgesia Controlada por el Paciente , Analgésicos Opioides/administración & dosificación , Anestesia Intravenosa , Anestésicos Locales , Antieméticos/administración & dosificación , Mama/inervación , Femenino , Humanos , Persona de Mediana Edad , Morfina/administración & dosificación , Proyectos Piloto , RopivacaínaRESUMEN
Symptomatic thoracic disc herniation is an uncommon condition and early surgical approaches were associated with significant morbidity and even mortality. We are the first to describe the technique of percutaneous thoracic nucleoplasty in three patients with severe radicular pain due to thoracic disc herniation. Two of the patients experienced more than 75% pain relief and one patient experienced more than 50% pain relief. Post-procedural pain relief was maintained up to an average of 10 months after nucleoplasty. One patient with preoperative neurological signs improved postoperatively. There were no reported complications in all three patients. In view of the reduced morbidity and shorter operating time, thoracic intervertebral disc nucleoplasty can be considered in patients with pain due to thoracic disc herniation, with no calcification of the herniated disc, and in patients who may be otherwise be unfit for conventional surgery.