RESULTS OF THE INTERCOSTOBARACHIAL NERVE PRESERVATION IN MODIFIED RADICAL MASTECTOMY FOR BREAST CANCER TREATMENT AT K HOSPITAL

Abstract

The study was performed on 52 patients with early-stage breast cancer lesions, who underwent modified radical mastectomy with preservation of the intercostobrachial nerve, without chemotherapy and radiotherapy after surgery. The objective of the study was to evaluate the value of intercostobrachial nerve preservation in modified radical mastectomy for breast cancer. The study was carried out by cross-sectional and prospective descriptive. The study’s result showed that the average age of detection was 49.50 ± 11.19 years old, the average surgery time was 49.42 minutes; the mean time of drains stay was 4.54 days; 5 cases had complications after surgery, accounting for 9.61%, in which 2 cases of bleeding, 2 cases of fluid accumulation and 1 case of delayed wound healing. Sensory recovery in the study was recorded on day 7 and day 90 after surgery: from 61.5% on day 7 and 86.5% on day 90; there were 69.2% of patients with clinically significant pain on the 7th postoperative day. There were 13.5% of patients with chronic pain at day 90, of which 7.8% had neuropathic nature. Preserving the intercostobrachial nerve reduces chronic pain and postoperative sensory disturbance over time.