Pain, Postoperative
Conditions
Brief summary
The prevalence of chronic pain after a thoracotomy is around 48 %. This research focuses on the surgical approach. The posterolateral approach is compared to the axillary approach especially in term of development of a chronic pain.
Interventions
PROCEDUREPosterolateral thoracotomy
PROCEDUREAxillary thoracotomy
Sponsors
Hopital Foch
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients undergoing thoracic surgery intervention by posterolateral or axillary thoracotomy, having no
Exclusion criteria
for the study,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chronic pain | 4 months | Prevalence of pain 4 months after surgery. Pain is evaluated using a numeric scale ranging from 0 (no pain) to 10 (maximal pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Characteristics of chronic pain | 4 months | Characteristics are notably: * its localization and intensity, * its neuropathic origin, * its impact on daily life, * required analgesic treatment, * need for a specific pain consultation |
| Quality of life | 4 months | Specific questionnaire |
| Early postoperative pain | 7 days | Evolution of pain from postoperative day 1 to postoperative day 6 (pain trajectory) Prevalence of pain 5 to 7 days after surgery. Pain is evaluated using a numeric scale ranging from 0 (no pain) to 10 (maximal pain). Clinical examination to detect modification of skin sensibility |
| Anxiety | 4 months | Stai trait |
| Preventive role of epidural analgesia | 4 months | Proportion of patients with chronic pain in each cohort who had had a postoperative thoracic epidural analgesia |
| Catastrophism | 4 months | Score of Sullivan |
Countries
France
Outcome results
None listed