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Related Experiment Videos

Combination of intracostal sutures with muscle flap to decrease post thoracotomy pain: A single blinded randomized

Majid Montazer1, Shahryar Hashemzade2, Reza Movassaghi Gargari3

  • 1Majid Montazer, Assistant Professor, Dept. of Cardiothoracic Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

Pakistan Journal of Medical Sciences
|April 4, 2017
PubMed
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Intercostal muscle (ICM) flaps did not improve post-thoracotomy pain compared to standard intracostal sutures alone. This randomized trial found no significant pain reduction with the addition of ICM flaps for thoracotomy closure.

Area of Science:

  • Thoracic Surgery
  • Pain Management
  • Surgical Techniques

Background:

  • Post-thoracotomy pain is a significant concern affecting patient recovery.
  • Intercostal nerve protection strategies aim to mitigate this pain.
  • The intercostal muscle (ICM) flap technique is one such method explored for pain improvement.

Purpose of the Study:

  • To evaluate the efficacy of intercostal muscle (ICM) flap in reducing post-thoracotomy pain.
  • To compare the pain outcomes of ICM flap combined with intracostal sutures versus intracostal sutures alone.

Main Methods:

  • A randomized controlled trial involving 94 patients undergoing posterolateral thoracotomy.
  • Patients were assigned to either intracostal sutures alone or combined with ICM flap for thoracotomy closure.
Keywords:
Intercostal muscle flapIntracostal suturesPostoperative painThoracotomy

Related Experiment Videos

  • Pain scores were assessed using Numeric Pain Scale and Visual Pain Scale postoperatively and during follow-up visits up to 6 months.

    • Main Results:

    • No statistically significant difference in pain severity was observed between the intracostal suture group and the ICM flap group.
    • Both groups showed a significant trend of pain reduction over time (p<0.001).
    • The addition of ICM flap did not yield a statistically significant improvement in pain compared to intracostal sutures alone (p>0.05).

    Conclusions:

    • Combining intercostal muscle (ICM) flaps with intracostal sutures does not offer superior pain relief compared to intracostal sutures alone in post-thoracotomy patients.
    • The ICM flap technique did not demonstrate a significant benefit in reducing postoperative pain after thoracotomy.
    • Further research may be needed to explore alternative or refined techniques for post-thoracotomy pain management.