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Xiphoidectomy for Intractable Xiphodynia.

Patrick Dorn1, Michael A Kuhn1, Barbara A Schweizer1

  • 1Division of General Thoracic Surgery, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.

World Journal of Surgery
|May 18, 2018
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Xiphoidectomy offers significant pain relief for intractable xiphodynia, a rare chest pain condition. This study highlights its effectiveness, especially when conservative treatments fail, with 80% of patients experiencing improvement.

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Area of Science:

  • General Surgery
  • Thoracic Surgery
  • Abdominal Surgery

Background:

  • Xiphodynia is a rare condition causing chest pain, often diagnosed after excluding other causes.
  • Limited data exists on xiphoidectomy for intractable xiphodynia.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of xiphoidectomy for intractable xiphodynia.

Main Methods:

  • Retrospective review of 11 patients who underwent xiphoidectomy between 2003 and 2015.
  • Analysis of preoperative workup, surgical technique, and patient follow-up data.

Main Results:

  • The primary symptom was xiphoid area chest pain, unresponsive to over a year of conservative treatment.
  • Eight out of ten patients achieved significant pain relief post-xiphoidectomy.
  • No postoperative complications were reported.

Conclusions:

  • Xiphoidectomy is a viable treatment for intractable xiphodynia, particularly when diagnostic indicators like xiphoid tenderness and a narrow xiphisternal angle are present.
  • Accurate diagnosis is crucial for successful surgical outcomes.
  • Patients with prior sternotomy or laparotomy may have reduced benefit from xiphoidectomy.