Plastic and Reconstructive Surgery, Global Open (Apr 2020)

Targeted Muscle Reinnervation following Breast Surgery: A Novel Technique

  • Andrew L. O’Brien, MD, MPH,
  • Casey T. Kraft, MD,
  • Ian L. Valerio, MD, MBA,
  • Juan L. Rendon, MD, PhD,
  • Jamie A. Spitz, MD,
  • Roman J. Skoracki, MD

DOI
https://doi.org/10.1097/GOX.0000000000002782
Journal volume & issue
Vol. 8, no. 4
p. e2782

Abstract

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Summary: Post-mastectomy pain syndrome is a prevalent chronic pain condition that affects numerous patients following breast surgery. The mechanism of this pain has been proposed to be neurogenic in nature. As such, we propose a novel surgical method for the prophylactic management of postsurgical breast pain: targeted muscle reinnervation of the breast. This article serves to review the relevant current literature of post-mastectomy pain syndrome and targeted muscle reinnervation, describe our current surgical technique for this operation, and present an initial cohort of patients to undergo this procedure.