The effect of muscle-sparing versus standard posterolateral thoracotomy on pulmonary function, muscle strength, and postoperative pain

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Modified muscle sparing posterolateral thoracotomy.

A modified posterolateral thoracotomy is described that combines the advantages of complete muscle sparing through a thoracolumbar fascial slide with excellent exposure. The technique is easy to perform. The procedure was associated with relatively little postoperative pain, coughing was effective, and early ambulation was achieved. Experience with this approach in the first 49 patients suggest...

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Muscle-sparing versus posterolateral thoracotomy: a prospective study.

OBJECTIVE Although the thoracotomy incision is guided in part by the exposure required, both cosmesis and the potential for improved recovery are important factors to be taken into account. We conducted a prospective randomized study in order to compare muscle sparing thoracotomy (MST) and standard posterolateral thoracotomy (PLT) for postoperative pain and physical function during and after ho...

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Pain and physical function are similar following axillary, muscle-sparing vs posterolateral thoracotomy.

STUDY OBJECTIVES We set out to determine whether there is a difference in postoperative pain and recovery after the patient undergoes the axillary muscle-sparing incision (ie, muscle-sparing thoracotomy [MT]) vs the modified posterolateral incision (ie, posterolateral thoracotomy [PT]). DESIGN Analysis of a database originally collected to determine the effect of the timing of epidural analge...

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Does muscle-sparing thoracotomy as opposed to posterolateral thoracotomy result in better recovery?

A best evidence topic was written according to a structured protocol. The question addressed was whether muscle-sparing thoracotomy (MST), as opposed to posterolateral thoracotomy (PLT), results in better recovery. A total of 108 papers were found using the reported searches of which eight represented the best evidence to answer the clinical question. The authors, date, journal, study type, pop...

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A muscle-saving posterolateral thoracotomy incision.

A posterolateral thoracotomy incision which spares the latissimus dorsi and serratus anterior muscles and provides adequate exposure for major thoracic procedures and structures in the posterior hilum is described. Preservation of these accessory muscles of respiration results in improved respiratory dynamics, decreased postoperative pain, and early recovery.

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1991

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)36721-2