Combination of intracostal sutures with muscle flap to decrease post thoracotomy pain: A singleblinded randomized clinical trial

Authors

  • Majid Mntazer Department of Cardiothoracic Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences
  • Shahryar Hasemzade Department of Cardiothoracic Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences,
  • Reza Movassaghi Gargari Faculty of Medicine, Tabriz University of Medical Sciences
  • Ali Ramouz Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Sarvin Sanaie Tuberculosis and lung disease research center, Tabriz University of Medical Sciences
  • Seyed Ziaeddin Rasihashemi Imam Reza Hospital, Tabriz University of Medical Sciences

DOI:

https://doi.org/10.12669/pjms.331.11581

Keywords:

Intercostal muscle flap, Postoperative pain, Thoracotomy, Intracostal sutures.

Abstract

Objective: To assess the efficacy of intercostal nerve protection by intercostal muscle (ICM) flap in post-thoracotomy pain improvement compared to intracostal suturing.

Methods: In a randomized controlled trial, ninety-four patients undergoing posterolateral thoracotomy surgery were divided into two subgroups. Intracostal sutures in isolation and in combination with ICM flap techniques were used for thoracotomy closure in both groups. Numeric Pain Scale and Visual Pain Scale as pain scores were assessed on the first, second, third, fourth, fifth, sixth and seventh postoperative days and follow-up visits during the 2nd week, 1st, 2nd, 4th and 6th months after thoracotomy.

Results: Out of 94 patients, 58 were male and 36 were females. While the mean age of patients in intracostal group was 45.3

Author Biographies

Majid Mntazer, Department of Cardiothoracic Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences

Assistant professor, Cardiothoracic surgery

Shahryar Hasemzade, Department of Cardiothoracic Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences,

Professor, Department of Cardiothoracic Surgery

Reza Movassaghi Gargari, Faculty of Medicine, Tabriz University of Medical Sciences

Assistant Professor, Department of Anesthesiology

Ali Ramouz, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Student Research Committee

Sarvin Sanaie, Tuberculosis and lung disease research center, Tabriz University of Medical Sciences

Assistant Professor, Tuberculosis and lung disease research center

Seyed Ziaeddin Rasihashemi, Imam Reza Hospital, Tabriz University of Medical Sciences

Assistant Professor, Department of Cardiothoracic Surgery,

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Published

2017-02-21

How to Cite

Mntazer, M., Hasemzade, S., Movassaghi Gargari, R., Ramouz, A., Sanaie, S., & Rasihashemi, S. Z. (2017). Combination of intracostal sutures with muscle flap to decrease post thoracotomy pain: A singleblinded randomized clinical trial. Pakistan Journal of Medical Sciences, 33(1). https://doi.org/10.12669/pjms.331.11581

Issue

Vol. 33 No. 1 (2017): January – February 2017 Pak J Med Sci

Section

Original Articles