{"title":"[保留神经血管束的原始肋周缝合预防电视辅助小开胸术后疼痛综合征]。","authors":"D N Pilkevich, M A Chekasina","doi":"10.17116/hirurgia202505151","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To prevent post-thoracotomy pain syndrome and its consequences after video-assisted mini-thoracotomy using original pericostal suture sparing the neurovascular bundle.</p><p><strong>Material and methods: </strong>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 (29 women and 42 men aged 41.2 ±5.1 years). All patients were divided into 2 groups: group I - standard pericostal suture; group II - original pericostal suture sparing the neurovascular bundle.</p><p><strong>Results: </strong>Intensity of pain after 1-2 postoperative days was higher by 43.2% in the 1<sup>st</sup> group, at discharge - by 85.8%. Mean area of paresthesia was less by 39.7% after 1 postoperative month and by 28.8% after 2 months in the 2<sup>nd</sup> group.</p><p><strong>Conclusion: </strong>Original pericostal suture with subperiosteal canal through detachment of neurovascular bundle from the underlying rib reduces the incidence of post-thoracotomy pain syndrome.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"51-57"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Original pericostal suture sparing the neurovascular bundle for prevention of post-thoracotomy pain syndrome after video-assisted mini-thoracotomy].\",\"authors\":\"D N Pilkevich, M A Chekasina\",\"doi\":\"10.17116/hirurgia202505151\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To prevent post-thoracotomy pain syndrome and its consequences after video-assisted mini-thoracotomy using original pericostal suture sparing the neurovascular bundle.</p><p><strong>Material and methods: </strong>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 (29 women and 42 men aged 41.2 ±5.1 years). All patients were divided into 2 groups: group I - standard pericostal suture; group II - original pericostal suture sparing the neurovascular bundle.</p><p><strong>Results: </strong>Intensity of pain after 1-2 postoperative days was higher by 43.2% in the 1<sup>st</sup> group, at discharge - by 85.8%. Mean area of paresthesia was less by 39.7% after 1 postoperative month and by 28.8% after 2 months in the 2<sup>nd</sup> group.</p><p><strong>Conclusion: </strong>Original pericostal suture with subperiosteal canal through detachment of neurovascular bundle from the underlying rib reduces the incidence of post-thoracotomy pain syndrome.</p>\",\"PeriodicalId\":35986,\"journal\":{\"name\":\"Khirurgiya\",\"volume\":\" 5\",\"pages\":\"51-57\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Khirurgiya\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17116/hirurgia202505151\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202505151","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Original pericostal suture sparing the neurovascular bundle for prevention of post-thoracotomy pain syndrome after video-assisted mini-thoracotomy].
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 (29 women and 42 men aged 41.2 ±5.1 years). All patients were divided into 2 groups: group I - standard pericostal suture; group II - original pericostal suture sparing the neurovascular bundle.
Results: Intensity of pain after 1-2 postoperative days was higher by 43.2% in the 1st group, at discharge - by 85.8%. Mean area of paresthesia was less by 39.7% after 1 postoperative month and by 28.8% after 2 months in the 2nd group.
Conclusion: Original pericostal suture with subperiosteal canal through detachment of neurovascular bundle from the underlying rib reduces the incidence of post-thoracotomy pain syndrome.
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