Does intracostal suture placement during closure reduce pain post-thoracotomy compared to routine pericostal closure?
نویسندگان
چکیده
Background/Introduction Postero-lateral thoracotomies are routinely performed in thoracic surgery. Post-operatively, the pain can be incapacitating due to many factors including intercostal nerve injury. Therefore neurovascular bundle (NVB) protection may be a key element in improving pain control. Two methods of chest closure are used in our unit; traditional pericostal closure and intracostal closure.
منابع مشابه
Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary function*
OBJECTIVE To compare two thoracotomy closure techniques (pericostal and transcostal suture) in terms of postoperative pain and pulmonary function. METHODS This was a prospective, randomized, double-blind study carried out in the Department of Thoracic Surgery of the Luzia de Pinho Melo Hospital das Clínicas and at the University of Mogi das Cruzes, both located in the city of Mogi das Cruzes,...
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OBJECTIVE To assess the efficacy of intercostal nerve protection by intercostal muscle (ICM) flap in post-thoracotomy pain improvement compared to intracostal suturing. METHODS In a randomized controlled trial, ninety-four patients undergoing posterolateral thoracotomy surgery were divided into two subgroups. Intracostal sutures in isolation and in combination with ICM flap techniques were us...
متن کاملPreserving the intercostal nerves as a goal in thoracotomy
http://dx.doi.org/10.1590/S1806-37132014000600013 The current intercostal nerve preservation strategy requires that care be taken when closing a thoracotomy. There are currently three thoracotomy closure techniques: • transosteal or transcostal suture closure • transperiosteal suture closure(5) • pericostal suture closure, whereby sutures are placed in the virtual space between the periosteum a...
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OBJECTIVES Intracostal suture or intercostal muscle flap can reduce post-thoracotomy pain through the preservation of intercostal nerves below or above the incision. This study aims to test whether combining intracostal suture with intercostal muscle flap might achieve better pain relief than intracostal suture alone. METHODS This study included 144 consecutive patients who underwent pulmonar...
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