Saturday, June 30, 2012

Exparel for Post Surgical Pain Relief in Reconstructive Surgery


Exparel is a high-tech new form of a commonly used local anesthetic (bupivicaine/marcine).   It is FDA approved and is catching on quickly with surgeons who want the best for their patients in post surgical pain relief.     I have been fortunate to have been one of the first plastic surgeon in the Bay Area to have used Exparel since April 2012.     Patients who have undergone both cosmetic plastic (breast augmentation, tummy tuck) and reconstructive plastic surgery (breast reconstruction, hand and leg surgery) have benefited from this medication.  It is currently also being used in general surgery (eg: hernia), orthopedics, and other procedures.

Typically, Marcine/Bupivicaine lasts only 6-8 hours after it is injected in the surgical area.  With Exparel-- Marcaine + Depofoam technology-- it can last up 72 hours.   The most painful time after surgery is within the first 48-72 hours, so the timing is excellent to address this critical time.   In addition, my patients can avoid the use of the "pain pump" which basically infuses marcaine over a period of time, but the inconvenience of the additional tubing and bulbs, and the possibility of this tubing sitting near an implant, is avoided.

Ultimately, using this medication can help significantly with pain relief and decrease the use of narcotics which come with significant side effects -- nausea, vomiting, constipation, mood changes, etc.

Exparel is an excellent addition to my practice and I am fortunate to be able to offer this high-tech pain reliever to my patients. Ask your surgeon if you might benefit from Exparel for your next procedure.

7 comments:

Dr GUNASEKAR VUPPALAPATI said...

Hi, I agree with your nice Tips and advance tricks for Aesthetic surgery. Now a day people find the peace of mind and accidental recovery also through Surgery……..Please, contact Dr GvG for Cosmetic Surgery in Bangalore.

Digital wound care said...

To heal the wound quickly apply the healicoll

Jason Knight said...

I wonder if they used Exparel on my buddy when he had reconstructive surgery done. He is the toughest guy that I have ever met and I have no idea how he made it. He was in a car accident where he was T-boned by a semi truck that picked his car up and carried it 30 feet.

Jason|http://www.drmanishshah.com/

Gary Puntman said...

My wife has wanted to get plastic surgery. She is nervous about the pain though. It's good to know that there are treatments for her to deal with the pain. http://www.admireplasticsurgery.com

Paul Herman said...

Reconstructive surgery seems like a really great service. It's really interesting to learn about new forms of plastic surgery. It's great to read about different ways that plastic surgery is doing good in people's lives.
http://www.fallekplasticsurgery.com

Edgardo Berones said...
This comment has been removed by the author.
Edgardo Berones said...

Great read. Really appreciate you sharing this post. The ideas regarding Exparel are so insightful and can be used as reference for my studies.

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