改良颈外缝合技术,以减少微创胸腔手术转为开胸手术后的术后疼痛,并提供最佳的解剖修复。

IF 0.6 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska Pub Date : 2023-09-01 Epub Date: 2023-10-30 DOI:10.5114/kitp.2023.131940
Vasileios Leivaditis, Konstantinos Grapatsas, Benjamin Ehle, Manfred Dahm, Antonios Chatzimichalis, Emmanuil Margaritis, Nikolaos Baltayiannis, Nikolaos Charokopos, George Sakellaropoulos, Georgios-Ioannis Verras, Dimitrios Schizas, Admir Mulita, Ioannis Panagiotopoulos, Francesk Mulita, Efstratios Koletsis
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引用次数: 0

摘要

微创胸腔技术通常需要转换为开胸手术。50%的患者开胸术后会出现严重疼痛,这种情况可以持续很长一段时间。为了避免这种复杂情况,已经做出了许多努力。我们提出了一种简单快速的开胸闭合技术,以避免在胸部闭合时神经卡压,适用于微创尝试后转为开胸的病例。所提出的方法有效地避免了对肋间神经的干扰,肋间神经保持完整并恢复了肋间间隙的解剖结构。减少术后疼痛的努力至关重要。胸外科医生是能够处理手术因素和术后疼痛管理的主要健康专业人员。我们相信,使用这种简单快捷的技术可以促进肋骨在保留神经的同时进行良好的解剖复位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy.

Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy.

Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy.

Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy.

Minimally invasive thoracic techniques often need to be converted to open thoracotomy. Thoracotomy is associated with severe postoperative pain in 50% of the patients, and this situation can be maintained for a prolonged period. Many efforts have been made to avoid this complication. We propose an easy and fast thoracotomy closure technique to avoid nerve entrapment at the time of chest closure suitable for cases of conversion to thoracotomy after a minimally invasive attempt. The proposed method effectively avoids interference with the intercostal nerve, which remains intact and restores the anatomy of the intercostal space. Efforts to decrease postoperative pain are vital. Thoracic surgeons are the principal health professionals able to deal with operative factors and postoperative pain management. We believe that the use of this easy and fast technique can facilitate excellent anatomic repositioning of the ribs alongside nerve sparing.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Polish Journal of Thoracic and Cardiovascular Surgery is a quarterly aimed at cardiologists, cardiosurgeons and thoracic surgeons. Includes the original works (experimental, research and development), illustrative and casuistical works about cardiology and cardiosurgery.
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