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Journal articles on the topic 'Post thoracotomy pain syndrome'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Arends, Sven, Andreas B. Böhmer, Marcel Poels, et al. "Post-thoracotomy pain syndrome." PAIN Reports 5, no. 2 (2020): e810. http://dx.doi.org/10.1097/pr9.0000000000000810.

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2

Strebel, B. M., and S. Ross. "Chronic post-thoracotomy pain syndrome." Canadian Medical Association Journal 177, no. 9 (2007): 1027. http://dx.doi.org/10.1503/cmaj.061196.

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3

Khelemsky, Yury, and Christopher J. Noto. "Preventing Post-Thoracotomy Pain Syndrome." Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine 79, no. 1 (2012): 133–39. http://dx.doi.org/10.1002/msj.21286.

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4

Ermis, Okan, Lale Karabiyik, Didem Akcali, and Abdullah Irfan Tastepe. "Post-Thoracotomy Pain Syndrome: Incidence, Neuropathic Component, and Risk Factors." Journal of Anesthesiology and Reanimation Specialists' Society 32, no. 4 (2024): 252–58. http://dx.doi.org/10.54875/jarss.2024.26576.

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Objective: Pain that recurs or persists at least two months after thoracotomy is defined as post-thoracotomy pain syndrome (PTPS), and neuropathic pain (NP) is expected to develop in approximately half of these patients. This study aimed to examine the frequency of PTPS, the neuropathic component of pain, and the effecting risk factors in patients who underwent thoracotomy. Methods: 862 patients who underwent thoracotomy were monitored between January 2010 and May 2013 at Gazi University Faculty of Medicine Hospital. The study continued with 277 patients who could be contacted by phone at leas

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5

Pyati, Srinivas. "Perioperative Ketamine Administration for Thoracotomy Pain." Pain Physician 3, no. 20;3 (2017): 173–84. http://dx.doi.org/10.36076/ppj.2017.184.

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Background: Of all the postsurgical pain conditions, thoracotomy pain poses a particular therapeutic challenge in terms of its prevalence, severity, and ensuing postoperative morbidity. Multiple pain generators contribute to the severity of post-thoracotomy pain, and therefore a multimodal analgesic therapy is considered to be a necessary strategy. Along with opioids, thoracic epidural analgesia, and paravertebral blocks, N-Methyl-D-Aspartate (NMDA) receptor antagonists such as ketamine have been used as adjuvants to improve analgesia. Objective: We reviewed the evidence for the efficacy of in

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6

Giavasopoulos, Evangelos. "Post – operative analgesia in patients under thoracotomy." Health & Research Journal 2, no. 1 (2019): 7. http://dx.doi.org/10.12681/healthresj.19637.

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The thoracotomy is one of the most painful surgery operations, and the final outcome is directly associated with the postoperative pain control, because it allows quick mobilization, intense respiratory physiotherapy and reduces postoperative morbidity. Unfortunately, patients under thoracotomy, incur a significant risk of chronic pain. Although there are guidelines for the management of post-operative pain relief in these patients, however there is no widespread surgical or anesthetic "gold standard." In the present article it has been investigated the current literature related to the propos

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7

Ee Chin, Joel Wann, and Kamen Valchanov. "Pharmacological Management of Post-thoracotomy Pain." Open Medicine Journal 3, no. 1 (2016): 255–64. http://dx.doi.org/10.2174/1874220301603010255.

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Thoracotomy is widely recognised as one of the most painful surgical procedures. The combination of extensive tissue dissection and dynamic respiratory movement postoperatively makes post-thoracotomy pain control particularly challenging. In the short term, inadequate analgesia is associated with respiratory complications, poor mobilisation, delayed discharge and respiratory infections. More importantly, poorly controlled postoperative pain is associated with developing chronic post-thoracotomy pain, also known as post-thoracotomy pain syndrome (PTPS). The reported incidence is between 25-60%

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8

Hopkins, Kathleen Garrubba, and Margaret Rosenzweig. "Post-Thoracotomy Pain Syndrome: Assessment and Intervention." Clinical Journal of Oncology Nursing 16, no. 4 (2012): 365–70. http://dx.doi.org/10.1188/12.cjon.365-370.

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9

Pilkevich, D. N., and M. A. Chekasina. "Original pericostal suture sparing the neurovascular bundle for prevention of post-thoracotomy pain syndrome after video-assisted mini-thoracotomy." Pirogov Russian Journal of Surgery, no. 5 (April 29, 2025): 51. https://doi.org/10.17116/hirurgia202505151.

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Objective. To prevent post-thoracotomy pain syndrome and its consequences after video-assisted mini-thoracotomy using original pericostal suture sparing the neurovascular bundle. Material and methods. Original pericostal suture sparing the neurovascular bundle was developed to prevent post-thoracotomy pain syndrome. A prospective cohort controlled randomized clinical trial with 2-month follow-up was conducted to estimate postoperative pain syndrome after various pericostal sutures. The study included 71 patients who underwent video-assisted atypical lung resections for various lung diseases (2

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10

Gautam, Sujeet KS. "Serratus Anterior Plane Block: A New Analgesic Technique for Post-Thoracotomy Pain." May 2015 3;18, no. 3;5 (2015): E421—E424. http://dx.doi.org/10.36076/ppj.2015/18/e421.

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Pain following thoracotomy is of moderate to severe nature. Management of thoracotomy pain is a challenging task. Post thoracotomy pain has acute effects in the post operative period by affecting respiratory mechanics, which increases the morbidity. Poorly controlled thoracotomy pain in the acute phase may also lead to the development of a chronic pain syndrome. A young male patient underwent esophagectomy and esophago-gastric anastomosis for corrosive stricture of the esophagus. Epidural analgesia is standard of care for patients undergoing thoracotomy. Due to hypotension and fluid losses fol

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11

Lednev, A. N., A. A. Pechetov, and G. A. Vishnevskaya. "Prevention and treatment of post-thoracotomy pain syndrome from the perspective of thoracic surgeon." Russian Journal of Pain 23, no. 1 (2025): 62. https://doi.org/10.17116/pain20252301162.

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Thoracotomy is one of the most painful surgical approaches. Combination of traumatic incision, features of chest innervation and respiratory movements in postoperative period makes pain control especially difficult after thoracotomy. In early stages, inadequate analgesia is associated with respiratory complications, delayed activation and infectious complications. Moreover, poorly controlled postoperative pain is associated with chronic postthoracotomy pain syndrome. Understanding the complex nociceptive pathways and neuropathic mechanisms of chronic postthoracotomy pain syndrome arouses inter

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12

Benyamin, Ramsin M. "A Systematic Evaluation of Thoracic Interlaminar Epidural Injections." Pain Physician 4;15, no. 4;8 (2012): E497—E514. http://dx.doi.org/10.36076/ppj.2012/15/e497.

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Background: There is a paucity of literature on the use of epidural injections for the treatment of chronic mid and upper back pain due to disc herniation and radiculitis, axial or discogenic pain, spinal stenosis, post surgery syndrome, and post thoracotomy pain syndrome. Study Design: A systematic review of therapeutic thoracic epidural injection therapy for chronic mid and upper back pain. Objective: The objective of this systematic review is to determine the effects of thoracic interlaminar epidural injections with or without steroids, with or without fluoroscopy, and for various condition

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13

Baumrucker, Steven J. "Post-thoracotomy pain syndrome: An opportunity for palliative care." American Journal of Hospice and Palliative Medicine® 19, no. 2 (2002): 83–84. http://dx.doi.org/10.1177/104990910201900203.

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14

Yesildag, C., E. Erhan, M. N. Deniz, et al. "F263 CHRONIC POST-THORACOTOMY PAIN SYNDROME: A RETROSPECTIVE STUDY." European Journal of Pain Supplements 5, S1 (2011): 142–43. http://dx.doi.org/10.1016/s1754-3207(11)70488-6.

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15

Koethe, Yilun, Andrew J. Mannes, and Bradford J. Wood. "Image-guided Nerve Cryoablation for Post-thoracotomy Pain Syndrome." CardioVascular and Interventional Radiology 37, no. 3 (2013): 843–46. http://dx.doi.org/10.1007/s00270-013-0718-8.

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16

Moore, William, Dean Kolnick, Jonathan Tan, and Hei Shun Yu. "CT Guided Percutaneous Cryoneurolysis for Post Thoracotomy Pain Syndrome." Academic Radiology 17, no. 5 (2010): 603–6. http://dx.doi.org/10.1016/j.acra.2010.01.009.

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17

Rashid, Saima, Amanda R. Fields, and Steven J. Baumrucker. "Subcutaneous Botulinum Toxin Injection for Post-Thoracotomy Pain Syndrome in Palliative Care: A Case Report." American Journal of Hospice and Palliative Medicine® 35, no. 3 (2017): 511–13. http://dx.doi.org/10.1177/1049909117716460.

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Post-thoracotomy pain syndrome (PTPS) is a traumatic neuropathy that can affect as many as 50% of patients undergoing thoracotomy. Patients are often refractory to conservative management and may require multiple analgesics for adequate pain control. Botulinum toxin, derived from Clostridium botulinum, has many uses in treating conditions involving spasticity, dystonia, chronic migraine, and a variety of pain disorders including neuropathies. Botulinum toxin type A injections may provide an alternative or adjunct to improve symptom management in patients with PTPS.

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18

Piraccini, Emanuele, Giulia Biondi, Eleonora De Lorenzo, Ruggero M. Corso, and Stefano Maitan. "Ultrasound-guided erector spinae block for post-thoracotomy pain syndrome in video-assisted thoracic surgery." Tumori Journal 106, no. 6 (2020): NP46—NP48. http://dx.doi.org/10.1177/0300891620912024.

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This article describes our experience with 5 patients with post-thoracotomy pain syndrome after video-assisted thoracoscopic lobectomies, treated with weekly erector spinae plane block. We injected corticosteroid and local anesthetic. At the end of the treatment period, pain scores decreased significantly. Our experience suggests that erector spinae plane block may have a role in the treatment of post-thoracoscopy pain syndrome.

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19

Gaber, Sara, Emad Saleh, Somaya Elshaikh, et al. "Role of Perioperative Pregabalin in the Management of Acute and Chronic Post-Thoracotomy Pain." Open Access Macedonian Journal of Medical Sciences 7, no. 12 (2019): 1974–78. http://dx.doi.org/10.3889/oamjms.2019.556.

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BACKGROUND: Post-thoracotomy pain syndrome (PTPS) can be challenging to treat. AIM: This study aimed to evaluate the efficacy of perioperative pregabalin in the prevention of acute and chronic post-thoracotomy pain. METHODS: Sixty patients scheduled for thoracotomy for oncologic surgeries were randomly allocated to one of two groups; Pregabalin and Control. In the Pregabalin group, pregabalin 150 mg was administered one hour before thoracotomy and 12 hours later, then every 12 hours for five days. Pain intensity was assessed using the Visual Analogue Scale (VAS) at rest (VAS-R) and dynamic (VA

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20

Borys, Michał, Agata Hanych, and Mirosław Czuczwar. "Paravertebral Block Versus Preemptive Ketamine Effect on Pain Intensity after Posterolateral Thoracotomies: A Randomized Controlled Trial." Journal of Clinical Medicine 9, no. 3 (2020): 793. http://dx.doi.org/10.3390/jcm9030793.

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Severe postoperative pain affects most patients after thoracotomy and is a risk factor for post-thoracotomy pain syndrome (PTPS). This randomized controlled trial compared preemptively administered ketamine versus continuous paravertebral block (PVB) versus control in patients undergoing posterolateral thoracotomy. The primary outcome was acute pain intensity on the visual analog scale (VAS) on the first postoperative day. Secondary outcomes included morphine consumption, patient satisfaction, and PTPS assessment with Neuropathic Pain Syndrome Inventory (NPSI). Acute pain intensity was signifi

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21

Graybill, Jordan. "Spinal Cord Stimulation for Treatment of Pain in a Patient with Post Thoracotomy Pain Syndrome." Pain Physician 5;14, no. 5;9 (2011): 441–45. http://dx.doi.org/10.36076/ppj.2011/14/441.

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Post Thoracotomy Pain Syndrome (PTPS) is defined as pain that occurs or persists in the area of the thoracotomy incision for at least 2 months following the initial procedure. The true incidence of PTPS is hard to define as literature reports a wide range of occurrence from 5% to 90%. Thoracotomy is associated with a high risk of severe chronic postoperative pain. Presenting symptoms include both neuropathic pain in the area of the incision, as well as myofascial pain commonly in the ipsilateral scapula and shoulder. Pain management can be challenging in these patients. Multiple treatments hav

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22

Yakşi, Elif, and Osman Yakşi. "Current treatment options for post-thoracotomy pain syndrome: a review." Current Thoracic Surgery 2, no. 3 (2017): 103. http://dx.doi.org/10.26663/cts.2017.0020.

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23

WILDGAARD, KIM. "The post-thoracotomy pain syndrome: epidemiological, psychophysical and social consequences." Acta Anaesthesiologica Scandinavica 58, no. 1 (2013): 129. http://dx.doi.org/10.1111/aas.12219.

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24

Werner, Mads U., Thomas K. Ringsted, Henrik Kehlet, and Kim Wildgaard. "Mirror-image sensory dysfunction in the post-thoracotomy pain syndrome." Scandinavian Journal of Pain 3, no. 3 (2012): 193. http://dx.doi.org/10.1016/j.sjpain.2012.05.054.

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Abstract Background/aims Mirror-image sensory dysfunction (MISD) has been described in various medical conditions, but has not been systematically characterized following major surgery. Methods The presence of MISD was evaluated with standardized thermal and mechanical stimuli, in a group of preoperative patients scheduled for thoracotomy (n = 14) and in patients with post-thoracotomy pain syndrome (PTPS = 14). The primary outcome was areas with sensory dysfunction evaluated by dynamic sensory mapping with metal-rollers and a brush. The test procedures were repeated after 2 weeks in PTPS-patie

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25

Wildgaard, Kim, Thomas K. Ringsted, Henrik Kehlet, and Mads U. Werner. "The variability in thermal threshold-assessments in post-thoracotomy pain syndrome." Scandinavian Journal of Pain 3, no. 3 (2012): 188–89. http://dx.doi.org/10.1016/j.sjpain.2012.05.042.

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AbstractBackground/aimsQuantitative sensory testing (QST) is a reference method in characterization of neuropathic pain components. Variability data on thermal thresholds have been presented for a number of diseases, but not for patients with persistent post-surgical pain. Thus, the objectives of the present study were to assess the day-to-day variation, but also topographic variability in thermal threshold assessments in post-thoracotomy pain syndrome (PTPS) patients. The variability in thermal thresholds between pre-specified sites, on the surgical and the non-surgical side were compared to

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26

Yasin, Junaid, Nanda Thimmappa, Jussuf T. Kaifi, et al. "CT-guided cryoablation for post-thoracotomy pain syndrome: a retrospective analysis." Diagnostic and Interventional Radiology 26, no. 1 (2020): 53–57. http://dx.doi.org/10.5152/dir.2019.19179.

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27

Moharam, Saad Ahmed, Amgad Elshikh, Mohamed Abdelbadie, Ahmed Mohamed Ibrahim, Mostafa Mohamed Khedr Shaheen, and Mohammed Said ElSharkawy. "Efficacy of adding ketamine to levobupivacaine in paravertebral block on acute and chronic pain in thoracotomy: a randomized controlled double-blinded trial." PAIN Reports 9, no. 6 (2024): e1206. http://dx.doi.org/10.1097/pr9.0000000000001206.

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Abstract Background: The inappropriate management of pain after thoracotomy results in serious complications. Several adjuvants have been added to the thoracic paravertebral block (TPVB) to enhance its effects. This work aimed to evaluate the effect of adding ketamine to TPVB on thoracotomy-related acute and chronic pain. Methods: This randomized controlled double-blinded trial included 60 patients scheduled for open thoracotomy. Patients were equally randomized into 2 groups: group K: received TPVB + 1 mL ketamine (50 mg). Group C (n = 30): received TPVB (19 mL of 0.5% levobupivacaine + 1 mL

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28

Hetmann, Fredrik, Ulf E. Kongsgaard, Leiv Sandvik, and Inger Schou-Bredal. "Post-thoracotomy pain syndrome and sensory disturbances following thoracotomy at 6- and 12-month follow-ups." Journal of Pain Research Volume 10 (March 2017): 663–68. http://dx.doi.org/10.2147/jpr.s126639.

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29

Marchetti, Giuliano, Alessandro Vittori, Fabio Ferrari, et al. "Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients." Children 8, no. 8 (2021): 642. http://dx.doi.org/10.3390/children8080642.

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We studied acute and chronic pain in pediatric patients who underwent thoracotomy for benign disease with a follow-up of at least three months. A telephone interview investigated about the presence of pain and the analgesic therapy in progress. The results were compared with the anesthetic technique, postoperative pain and the adequacy of pain therapy, both during the first week after surgery and at the time of interview. Fifty-six families consented to the study. The mean age of the children at surgery was 2.9 ± 4.5 years, while at the time of the interview was 6.5 ± 4.4 years. We performed d

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30

Lee, Heon Keun, Seung Wha Lee, Il Woo Shin, Ju Tae Sohn, Yeong Ju Jeong, and Young Kyun Chung. "Spinal cord stimulation for intractable post-thoracotomy pain syndrome - A case report -." Korean Journal of Anesthesiology 57, no. 5 (2009): 678. http://dx.doi.org/10.4097/kjae.2009.57.5.678.

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31

Dutta, V., B. Kumar, A. Jayant, and A. K. Mishra. "Effect of Continuous Paravertebral Dexmedetomidine Administration on Intraoperative Anesthetic Drug Requirement and Post-thoracotomy Pain Syndrome After Thoracotomy." Survey of Anesthesiology 61, no. 3 (2017): 58–59. http://dx.doi.org/10.1097/01.sa.0000521732.87385.7f.

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32

Fawzi, HazemM, and SanaaA El-Tohamy. "Effect of perioperative oral pregabalin on the incidence of post-thoracotomy pain syndrome." Ain-Shams Journal of Anaesthesiology 7, no. 2 (2014): 143. http://dx.doi.org/10.4103/1687-7934.133350.

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33

Abbas, Naveed, F. Power, D. O'Keefe, and D. Healy. "P-280SUCCESSFUL USE OF A SPINAL CORD STIMULATOR IN POST-THORACOTOMY PAIN SYNDROME." Interactive CardioVascular and Thoracic Surgery 21, suppl_1 (2015): S76. http://dx.doi.org/10.1093/icvts/ivv204.280.

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34

KÜÇÜKBİNGÖZ, Çağatay, Fidan MARUFOGLU, Tamer BAYRAM, Ayşe BAHŞİ, and Hayri ÖZBEK. "TORAKAL DORSAL KÖK GANGLİYONU PULSED RADYOFREKANS UYGULAMASININ ETKİNLİĞİNİN POSTHERPETİK NEVRALJİ İLE POSTTORAKOTOMİ AĞRI SENDROMLARI ÜZERİNE ETKİLERİNİN KARŞILAŞTIRILMASI." Cukurova Anestezi ve Cerrahi Bilimler Dergisi 6, no. 2 (2023): 262–66. http://dx.doi.org/10.36516/jocass.1299024.

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Aim: The causative agent of herpes zoster (HZ) is the reactivated varicella-zoster virus. HZ leads to severe and painful rashes that can be accompanied by long-term pain, i.e., postherpetic neuralgia (PHN). According to the International Association for the Study of Pain (IASP), post-thoracotomy pain syndrome (PTPS) is defined as “recurrent or persistent pain along the thoracotomy incision at least two months after surgery”⁸. Methods: In this study, the medical records of all the patients were reviewed for age, gender, size, thoracic level, cause of pain, and visual analog scale (VAS) an

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35

Khoronenko, V. E., D. S. Baskakov, A. S. Malanova, E. A. Mandryka, and M. M. Shemetova. "Post-thoracotomy pain syndrome as a risk factor for the development of nosocomial pneumonia." Alexander Saltanov Intensive Care Herald, no. 1 (April 2019): 78–84. http://dx.doi.org/10.21320/1818-474x-2019-1-78-84.

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36

Lee, Jooyong, Soontaek Jeong, Jihye Hwang, and Sanghi Park. "Postoperative analgesia in patients undergoing thoracotomy: A comparison between total intravenous anesthesia and inhalation anesthesia." Pakistan Journal of Medical Sciences 40, no. 10 (2024): 2219–22. http://dx.doi.org/10.12669/pjms.40.10.9907.

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Objective: Propofol is more effective than inhalational anesthesia; however, the results for the management of acute pain remain controversial. Therefore, this study aimed to determine the incidence of acute pain after inhalation anesthesia and total intravenous anesthesia among patients who underwent thoracotomy at our hospital. Methods: We conducted a single center retrospective observational study using data from electronic medical records. Sixty patients aged ≥20 years with American Society of Anesthesiologists physical status class I or II who underwent regular and emergency thoracotomy b

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37

Koryllos, Aris, Astrid Althaus, Marcel Poels, et al. "Impact of intercostal paravertebral neurectomy on post thoracotomy pain syndrome after thoracotomy in lung cancer patients: a randomized controlled trial." Journal of Thoracic Disease 8, no. 9 (2016): 2427–33. http://dx.doi.org/10.21037/jtd.2016.07.93.

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38

Forero, Mauricio, Manikandan Rajarathinam, Sanjib Adhikary, and Ki Jinn Chin. "Erector spinae plane (ESP) block in the management of post thoracotomy pain syndrome: A case series." Scandinavian Journal of Pain 17, no. 1 (2017): 325–29. http://dx.doi.org/10.1016/j.sjpain.2017.08.013.

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AbstractBackground and aimsPost thoracotomy pain syndrome (PTPS) remains a common complication of thoracic surgery with significant impact on patients’ quality of life. Management usually involves a mul¬tidisciplinary approach that includes oral and topical analgesics, performing appropriate interventional techniques, and coordinating additional care such as physiotherapy, psychotherapy and rehabilitation. A variety of interventional procedures have been described to treat PTPS that is inadequately managed with systemic or topical analgesics. Most of these procedures are technically complex an

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39

Khoronenko, V. E., A. S. Malanova, D. S. Baskakov, A. B. Ryabov, and O. V. Pikin. "Regional and peripheral blockades for prevention of chronic post-thoracotomy pain syndrome in oncosurgical practice." Khirurgiya. Zhurnal im. N.I. Pirogova, no. 8 (2017): 58. http://dx.doi.org/10.17116/hirurgia2017858-63.

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40

Lin, Chih-Peng. "Comparative Effectiveness of Suprascapular Nerve Block in the Relief of Acute Post-Operative Shoulder Pain: A Systematic Review and Meta-analysis." Pain Physician 7;19, no. 7;9 (2016): 445–56. http://dx.doi.org/10.36076/ppj/2016.9.445.

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Background: The suprascapular nerve accounts for 70% of shoulder sensory innervations, and suprascapular nerve block (SSNB) has been shown to be effective in the relief of chronic shoulder pain including rotator cuff tendinitis, subdeltoid impingement syndrome, and adhesive capsulitis. However, this remains inconclusive for patients undergoing surgery. The present meta-analysis aimed to explore the effectiveness of SSNB for relieving acute postoperative shoulder pain. Objective: To explore the effectiveness of SSNB for relieving acute post-operative shoulder pain. Study Design: A systematic re

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41

Dutta, Vikas, Bhupesh Kumar, Aveek Jayant, and Anand K. Mishra. "Effect of Continuous Paravertebral Dexmedetomidine Administration on Intraoperative Anesthetic Drug Requirement and Post-Thoracotomy Pain Syndrome After Thoracotomy: A Randomized Controlled Trial." Journal of Cardiothoracic and Vascular Anesthesia 31, no. 1 (2017): 159–65. http://dx.doi.org/10.1053/j.jvca.2016.05.045.

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42

Kumar, Bhupesh, Vikas Dutta, Aveek Jayant, and Anand K. Mishra. "Effect of Continuous Paravertebral Dexmedetomidine Administration on Intraoperative Anesthetic Drug Requirement and Post-Thoracotomy Pain Syndrome After Thoracotomy: A Randomized Controlled Trial." Journal of Cardiothoracic and Vascular Anesthesia 32, no. 2 (2018): e49-e50. http://dx.doi.org/10.1053/j.jvca.2017.09.028.

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43

Petrache, Ioan Adrian, Cristian Oancea, Elisei Moise Hasan, et al. "New Thoracotomy Closure, a Simple Way to Decrease Chronic Post-Operative Pain in Selected Patients—Blinded Prospective Study." Journal of Personalized Medicine 11, no. 10 (2021): 1007. http://dx.doi.org/10.3390/jpm11101007.

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Background and Objectives: Chronic post-thoracotomy pain syndrome (PTPS) is a very common and uncomfortable complication, occurring frequently after thoracic operations, leading to the necessity of further medication and hospitalizations. One important risk factor in developing chronic pain is the chest closure technique, which can lead to chronic intercostal nerve damage. This study proposes an alternative nerve-sparring closure technique to standard peri-costal sutures, aimed toward minimizing the risk of chronic pain in selected patients. Materials and Methods: We performed a prospective ra

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44

Simonovich, A. E. "SURGERY OF THORACIC DISC HERNIATION: A SYSTEMATIC REVIEW OF ENGLISH-LANGUAGE LITERATURE." Hirurgiâ pozvonočnika 16, no. 1 (2019): 70–80. http://dx.doi.org/10.14531/ss2019.1.70-80.

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The presented review of scientific publications from the Medline (PubMed) and Scopus databases considers modern surgical approaches used to remove intervertebral hernias in the thoracic spine. The advantages and disadvantages of anterior and posterior approaches are analyzed. It has been revealed that the anterior approaches, providing a good opportunity to remove a hernia, are associated with the risk of serious complications, including pulmonary ones, and often lead to the formation of a post-thoracotomy pain syndrome. Mini-thoracotomy and percutaneous thoracoscopy, although less invasive, d

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45

Cha, Peter I., Jung Gi Min, Advait Patil, Jeff Choi, Nishita N. Kothary, and Joseph D. Forrester. "Efficacy of intercostal cryoneurolysis as an analgesic adjunct for chest wall pain after surgery or trauma: systematic review." Trauma Surgery & Acute Care Open 6, no. 1 (2021): e000690. http://dx.doi.org/10.1136/tsaco-2021-000690.

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BackgroundThere is a critical need for non-narcotic analgesic adjuncts in the treatment of thoracic pain. We evaluated the efficacy of intercostal cryoneurolysis as an analgesic adjunct for chest wall pain, specifically addressing the applicability of intercostal cryoneurolysis for pain control after chest wall trauma.MethodsA systematic review was performed through searches of PubMed, EMBASE, and the Cochrane Library. We included studies involving patients of all ages that evaluated the efficacy of intercostal cryoneurolysis as a pain adjunct for chest wall pathology. Quantitative and qualita

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Stukalov, Anatoliy V., Roman E. Lakhin, and Evgeniy N. Ershov. "ESP-block in thoracic surgery: a case report." Regional Anesthesia and Acute Pain Management 15, no. 1 (2021): 57–62. http://dx.doi.org/10.17816/1993-6508-2021-15-1-57-62.

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This report presents a clinical case of combined anesthesia in a patient with videothoracoscopic atypical resection of the right lung. In the operating room, the patient underwent ultrasound-assisted blockade in the plane of the m. erector spinae (ESP block) using 20 mL of 0.375% levobupivacaine solution, after which general anesthesia was induced. Opioid consumption per surgery was 0.3 mg of fentanyl. In the postoperative period, high-quality multimodal pain relief was achieved without the use of opioids. Within 7 h after the operation, the patient could actively expectorate with minimal disc

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Gamal, Reham Mohamed, Sylvia Samy Bossily, Ashgan Raouf Ali, Samuel Fayez Samy, Nazmy Edward Seif, and Heba Ismail Ahmed. "Serratus anterior plane block versus thoracic epidural block in patients undergoing thoracotomy: a randomized double-blind trial." Anaesthesia, Pain & Intensive Care 27, no. 3 (2023): 389–95. http://dx.doi.org/10.35975/apic.v27i3.2243.

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Background & Objective: Standard pain management technique after thoracic surgery is thoracic epidural analgesia, parentral analgesics and nerve blocks. Thoracic epidural analgesia (TEA) has many known complications, including respiratory depression and urinary retention. Serratus anterior plane block (SAPB) is a simple procedure, which provides postoperative pain relief by blocking the lateral cutaneous branches of T2–T9 spinal neurons. We compared the analgesic efficacy of both of these techniques in thoracotomy patients in this randomized trial. Methodology: The study involved 74

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Andrey, Suprun, and Lysenko Victor. "Evaluation of the efficacy of paravertebral blockade as a component of combined anesthesia in the surgical treatment of pulmonary cancer." ScienceRise: Medical Science, no. 5(50) (September 30, 2022): 4–7. https://doi.org/10.15587/2519-4798.2022.265238.

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The aim. The paper evaluates the effectiveness of implemented combined anaesthesia (inhalation with paravertebral blockade) in comparison with inhalation anaesthesia (IA) and total intravenous anaesthesia (TVA) at the stages of surgery and the early postoperative period in the surgical treatment of cancer lungs. Methods. The study involved 60 patients with an average age of 55±5.6 years, physical status ASA II–III, who underwent open surgical interventions in the scope of frontal or pneumonectomy or resection of part of the lung. Patients were divided into 3 groups depending on th

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Chen, Y., Z. Liao, and H. Li. "Reducing the prevalence of chronic post-thoracotomy pain syndrome: is total intravenous anaesthesia superior to inhalation anaesthesia?" European Journal of Cardio-Thoracic Surgery 43, no. 3 (2012): 659. http://dx.doi.org/10.1093/ejcts/ezs503.

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Yosry, M. "F715 TRANSFORAMINAL INJECTION OF MAGNESIUM FOR CHRONIC POST-THORACOTOMY PAIN SYNDROME; NEW APPROACH OF AN OLD DRUG." European Journal of Pain Supplements 5, no. 1 (2011): 192. http://dx.doi.org/10.1016/s1754-3207(11)70661-7.

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