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Başlık: Rib approximation without intercostal nerve compression reduces post-thoracotomy pain: A prospective randomized study
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.
Bayram, Ahmet Sami
Özcan, Metin
Kaya, Fatma Nur
Gebitekin, Cengiz
AAI-8213-2021
ABB-7580-2020
8347194000
7102067687
7003619647
6602156436
Anahtar kelimeler: Cardiovascular system & cardiology
Respiratory system
Surgery
Pain
Surgery
Thoracotomy
Intercostal nerve
Posterolateral thoracotomy
Postoperative pain
Muscle flap
Analgesia
Trial
Resection
Yayın Tarihi: Nis-2011
Yayıncı: Oxford Univ Press
Atıf: Bayram, A. S. vd. (2011). "Rib approximation without intercostal nerve compression reduces post-thoracotomy pain: A prospective randomized study". European Journal of Cardio-Thoracic Surgery, 39(4), 570-574.
Özet: Objective: One of the most important considerations in the care of thoracic surgery patients is the control of pain, which leads to increased morbidity and relevant mortality. Methods: Between February and May 2009, 60 patients undergoing full muscle-sparing posterior minithoracotomy were prospectively randomized into two groups, according to the thoracotomy closure techniques. In the first group (group A), two holes were drilled into the sixth rib using a hand perforator, and sutures were passed through the holes in the sixth rib and were circled from the upper edge of the fifth rib, thereby compressing the intercostal nerve underneath the fifth rib. In the second group (group B), the intercostal muscle underneath the fifth rib was partially dissected along with the intercostal nerve, corresponding to the holes on the sixth rib. Two 1/0 polyglactin (Vicyrl) sutures were passed through the holes in the sixth rib and above the intercostal nerve. Results: There were 30 patients in each group. The visual analog score, observer verbal ranking scale (OVRS) scores for pain, and Ramsay sedation scores were used to follow-up on postoperative analgesia and sedation. The von Frey hair test was used to evaluate hyperalgesia of the patients. The patients in group B had lower visual analog scores at rest and during coughing. The patients in group B had lower OVRS scores than group A patients. The groups were not statistically different in terms of the Ramsay sedation scores and von Frey hair tests. Conclusions: Thoracotomy closure by a technique that avoids intercostal nerve compression significantly decreases post-thoracotomy pain.
URI: https://doi.org/10.1016/j.ejcts.2010.08.003
https://academic.oup.com/ejcts/article/39/4/570/525154?login=true
http://hdl.handle.net/11452/23477
ISSN: 1010-7940
1873-734X
Koleksiyonlarda Görünür:Scopus
Web of Science

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