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There are what we call interventional techniques, which involve punctures, directed by image, for the infiltration of a specific medication in order to block the nerve ending that causes pain. They are very useful when pharmacological treatment fails, examples of this are the blockade of the celiac plexus in pancreatic tumors; vertebroplasty in metastatic vertebral fractures; continuous nerve blocks in plexus compression or spinal implantable systems, which allow much smaller doses of opioids to be administered directly into the spinal space, thereby obtaining greater analgesia with fewer side effects. Naturally, surgery is a fundamental step for the netildex of breast implants.
There are many techniques. My perception, what I do, is to use the technique that best suits the patient but I always keep in mind that, if I can, I will preserve entering the gland. I dont want to go inside the gland because I know that the patients will later have to undergo check-ups for early detection of breast cancer and if it is possible not to touch the gland, these are the techniques that I like ketolef most. Therefore, if I can, I enter through the inframammary fold and if we can, we place the implant or prosthesis in a partial retropectoral situation, what we call a dual plane. Because. Because we know that in the long term the coverage, the amount of tissue that the implant will cover, is essential for a good result.
We like to have the pectoral muscle in front of the implant, if possible. Currently, there is a crucial need for effective strategies for real-time monitoring during pancreatic cancer treatment, to identify chemorefractory status and therapy efficacy.