26] Some of the factors contributing to pain may be noted as mastectomy, axillary lymph node dissection, trauma to the tissues during the surgery, dissection of the intercostobrachial
nerve, or intraoperative injury of axillary nerve branches.
Electrocortical analysis of patients with intercostobrachial
pain treated with TENS after breast cancer surgery.
The variant musculocutaneous muscle was covering all neurovascular bundle (F) and especially seen to compress intercostobrachial
32) Blockade rate for the axillary, intercostobrachial and medial cutaneous nerves of the arm is lower through the axillary approach.
It is recommended to add the intercostobrachial nerve block to the axillary block in order to increase tolerance of the tourniquet during the surgical procedure.
The remaining 2ml was diluted to 4ml and used for intercostobrachial
nerve block to prevent tourniquet pain.
The effectiveness of this novel therapy strongly suggests the source of this common pain syndrome is damage to the T4 and T5 sensory nerves during surgery, rather than damage to the intercostobrachial
nerve, as traditionally thought, according to Dr.
Complications after axillary dissection Minor complications Numbness in distribution of intercostobrachial
nerve (70%) Seroma (30%) Reduction in ROM of shoulder (25%) Lymphoedema (depends on the number nodes removed: may be minor or major complication) Major complications (infrequent) Thrombosis axillary vein Injury to motor nerve in axilla
The variant gave off five arteries from the second part, a thoracoacromial artery, two separate long thoracic arteries each with a branch that ran along the intercostobrachial
nerve to the arm, and two posterior branches.
A separate 5ml injection of 1% lignocaine plain was made for an intercostobrachial
nerve block in the axilla to provide anaesthesia for application of tourniquet.
Remember that the skin on the inner aspect of the arm is supplied by the intercostobrachial
nerve, T2, which is outside the brachial plexus.
INTRODUCTION: Normally the undivided lateral cutaneous branch of second intercostal nerve leaves the second intercostal space by piercing the lateral thoracic wall at midaxillary plane, passes along the base of axilla within the central group of axillary lymph nodes, reaches the upper and medial part of arm where it joins with medial cutaneous nerve of arm to form intercostobrachial
nerve to supply the skin of upper and medial parts of arm.