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New Treatments

For more information please call (877) 964-PAIN (7246)
The Main Pain Web Site: http://www.advancedpaincenters.org

New Treatments and Developments in Breast Cancer

Can the anesthetic technique for breast cancer surgery affect long-term outcomes?

Yes, it appears so. A study conducted in Ireland in 2006 found that if a paravertebral injection is done  prior to and during the mastectomy the recurrence rate of breast cancer is significantly lower.[1]

The patients were no different with respect to surgical technique, type of tumor, or details which would otherwise have predicted the difference in outcomes. Rates of recurrence and length of metastasis-free survival were significantly better for the women who had a paravertebral block as well as of general anesthesia. Three years after the procedure, the survival statistics remained significantly improved for the women who had a paravertebral block. These results are remarkable and bear further study to determine if they are replicable and generalizable to other institutions and groups of women. The sympathetic system seems to have significant effect on  hot flashes an anesthetic block done prior to mastectomy has been shown to  reduce the recurrence rate in 3 years from 23 % to 6% of women. We believe part of this effect is sympathetic effect.

The patients were no different with respect to surgical technique, type of tumor, or details which would otherwise have predicted the difference in outcomes. Rates of recurrence and length of metastasis-free survival were significantly better for the women who had a paravertebral block as well as of general anesthesia. Three years after the procedure, the survival statistics remained significantly improved for the women who had a paravertebral block.

Recurrence- and metastasis-free survival was 94% [ 6% recurrence] and 77%( 23% recurrence) at 36 months in the paravertebral and general anesthesia patients, respectively (P = 0.012).

[1] Exadaktylos, AK. Buggy, DJ. Can Anesthetic Technique for Primary Breast Cancer Surgery Affect Recurrence or Metastasis? Clinical Investigations Anesthesiology. 2006;105(4):660-664.

From "A Cool New You"

Foreword

Many years ago, I met Dr. Eugene Lipov when he was working as an anesthesiologist and pain specialist at Rush North Shore Hospital in suburban Chicago while I was chairing the OB/GYN department there. I quickly recognized him as a brilliant and creative “think outside the box” individual—someone we need in medicine!

Recently, I was delighted to find he is applying his expertise to alternative treatments for menopausal symptoms. If the 20th century was an era of major medical breakthroughs—vaccines, antibiotics, and transplant surgery — the 21st century may be a time of regrouping and exploring alternatives and recognizing the importance of choice.

Dr. Lipov’s willingness to pursue a promising line of research very “outside the box” of traditional menopause medicine is a breath of fresh air.

Linda Holt, MD
Associate Professor of Obstetrics and Gynecology
Northwestern University Feinberg School of Medicine
Chicago, Illinois
2009

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Eugene G. Lipov, MD is board certified in Anesthesiology as well as Pain Management. He completed Northwestern Medical School in 1984. He then attended Rush St. Luke’s Medical Center to pursue advanced training in Anesthesiology and Pain Management. He was on academic faculty at Rush St. Luke’s for more than five years.

Dr. Lipov is currently the Director of Research, Northwest Community Hospital and Medical Director, Advanced Pain Centers. He has had numerous appearances on network television for his innovative treatment of Hot Flashes and stimulators. He was an instructor for ISIS (International Spine Injection Society) and is a member of ISIS and NASS (North American Spine Society). Dr. Lipov formed and was the first president of the Illinois chapter of AISPP (American Society of Interventional Pain Physicians). Dr. Lipov lectures internationally and has authored Articles on his research for hot flashes, hybrid stimulators, and other pain topics. He and his team have developed methodologies to relieve various discomforts in new ways. His office has been recognized by the 2007 Chicago Innovation awards. Dr. Lipov is the founder of Advanced Pain Centers, and has been practicing in the field of pain medicine for 18 years.

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For more information please call (877) 964-7246

A Cool New You"A Cool New You" - a book on the latest treatments and understandings of menopause.

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Foreword From "A Cool New You" by Dr Linda Holt. Click Here for more information.

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