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Contribution of Auriculotherapy in the Management of Mastectomy With Immediate Reconstruction by Latissimus Dorsi Flap (ATMAGD)

Not Applicable
Terminated
Conditions
Mastectomy
Auriculotherapy
Interventions
Behavioral: Chronic Post-Surgical Pain evaluation
Drug: Auriculotherapy
Registration Number
NCT05126615
Lead Sponsor
Ramsay Générale de Santé
Brief Summary

Over the past decade, more and more healthcare professionals are using auriculotherapy as a preventative and effective therapy for pain. This therapy is applied by odontologists, anesthetists, surgeons, etc., to alleviate chronic pain. The effects of auriculotherapy are known in particular in reducing preoperative anxiety, pain in cancer patients and postoperative pain.

The aim of this study is to assess the effectiveness of adding auriculotherapy to the standard global anesthetic protocol, compared to this single reference protocol, on the incidence at 3 months post-intervention of Chronic Post-Surgical Pain, in patients operated for a mastectomy with reconstruction immediate by latissimus dorsi flap.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
10
Inclusion Criteria
  • Women patient over 18 years-old
  • Patient scheduled for a mastectomy with immediate reconstruction by latissimus dorsi flap with or without symmetrization on the contralateral breast.
  • Patient affiliated or beneficiary of a social security scheme.
  • Patient who has given her free and informed consent.
  • Preoperative blood test showing no contraindication to the operation.
Exclusion Criteria
  • Refusal of the patient.
  • No indication for auriculotherapy:
  • Patient having a heavy treatment with neuroleptics,
  • Or tricyclic antidepressants which interfere with the action of auriculotherapy.
  • Patient undergoing long-term morphine treatment for chronic pain.
  • Patient with unweaned opioid addiction.
  • Chronic painful patient.
  • Protected patient: Major under guardianship, curatorship or other legal protection, deprived of liberty by judicial or administrative decision; Hospitalized without consent.
  • Pregnant, breastfeeding or parturient woman.
  • Patient participating in another interventional study.
  • Patient who had already participated in this study as part of first breast surgery.
  • Patient receiving regular care by auriculotherapy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Patient with placeboChronic Post-Surgical Pain evaluationMastectomy operated patient then, they received placebo
Patients with auriculotherapyAuriculotherapyMastectomy operated patient then, auriculotherapy
Patients with auriculotherapyChronic Post-Surgical Pain evaluationMastectomy operated patient then, auriculotherapy
Primary Outcome Measures
NameTimeMethod
Presence, or not, of Chronic Post-Surgical Pain (DCPC)3 months

DCPC noted during the clinical examination of the 3rd postoperative month :

- score obtained at DN4 (neuropathic pain) : 4 different items

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hôpital Privé Paul d'Egine

🇫🇷

Champigny-sur-Marne, France

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