Iatrogenic Injury, Pain, Postoperative, Post-thoracotomy Pain Syndrome
Conditions
Keywords
Post thoracotomy pain, Iatrogenic rib fracture, Thoracotomy, Partial rib resection
Brief summary
The aim of this study is to evaluate the effect of partial rib resection in reducing acute post-thoracotomy pain
Detailed description
It is known that severe post thoracotomy pain can be reduced by half with some strategies to prevent pain development. It was thought that partial rib resection would reduce intercostal tension and prevent an uncontrolled fracture. Thus, it is argued that post thoracotomy pain can be reduced. Partial rib resection is applied in clinical practice in selected patient groups. However, we could not find a clinical study on this subject in the English literature. The aim of this study is to determine whether partial rib resection has an effect on the control of thoracotomy pain. Before the thoracotomy incision, simple randomization will be performed by flipping a coin. Routine thoracotomy incision will be performed in the control group. In the intervention group, approximately 1 cm segment of the 6th rib will be excised with a rib scissors before the thorax retractor was placed. Pericostal suture technique will be used in both groups at thoracotomy closure. Demographic information of the cases, preoperative respiratory function parameters, body mass index, Visual Analogue Scale scores, complications and analgesic doses will be recorded in the Case Report Form regularly.
Interventions
PROCEDUREPartial rib resection
1 cm partial rib resection during thoracotomy opening
Sponsors
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Masking description
Patients do not know which study group they are in. The researchers know which group the patients are in.
Intervention model description
Clinical data of intervention group and control groups will be compared
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Participants who underwent thoracotomy in our clinic in 2019-2020 * Participants signing an informed consent form
Exclusion criteria
* Thoracic wall tumor * Invasion of the thoracic wall by extrathoracic malignancy * Pleural pathology * History of previous rib fracture * History of previous thoracotomy * History of thoracic radiotherapy * Emergency surgery * Simultaneous incisions other than thoracotomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative visual analog scale scores | 7 days | Min:1, Max:10 points, Higher scores mean worse outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Iatrogenic rib fractures | During operation | Yes or no |
| Administered analgesic doses | Up to 4 weeks | Milligram |
| Duration of drainage | Up to 4 weeks | Days |
| Length of hospital stay | Up to 4 weeks | Days |
| Number of participants with postoperative bronchopulmonary complications | Up to 4 weeks | Yes or no |
Countries
Turkey (Türkiye)
Outcome results
None listed