Health Condition 1: null- Inlusion Criteria: All prospective
Conditions
Interventions
Intervention1: Intracostal closure of thoracotomy: Three equidistant holes will be hand drilled in the lower rib. Sutures passed through holes in the lower rib and over upper border of upper rib Numbe
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: All prospectively registered consenting, adult ( >18 years) cases undergoing open thoracotomy for Carcinoma lung Pulmonary metastasectomy
Exclusion criteria
Exclusion criteria: 1.Age 2. Preoperative chronic chest pain or use of narcotics as evident by use of Rainer pain detect score during preanesthetic checkup. 3. Prior thoracotomy 4. Intra operative rib fracture or chest wall resection 5. Non-functioning epidural analgesia or local chest wall recurrence
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To establish the feasibility of intracostal closure as a valid thoracotomy closure technique with respect to increase in operative time, operative complications like rib fractures and post op complications like osteochondritis.Timepoint: 6onths | — |
Secondary
| Measure | Time frame |
|---|---|
| To note the difference in pain scores, profiles, analgesic requirements and incidence of chronic pain syndromesTimepoint: 2months | — |
Countries
India
Contacts
Public ContactDr Sunil Kumar
Dept. of Surgical Oncology; AIIMS
Outcome results
None listed