Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary function
OBJECTIVE: To compare two thoracotomy closure techniques (pericostal and transcostal suture) in terms of postoperative pain and pulmonary function. METHODS: This was a prospective, randomized, double-blind study carried out in the Department of Thoracic Surgery of the Luzia de Pinho Melo Hospit...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pneumologia e Tisiologia
2014-08-01
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| Series: | Jornal Brasileiro de Pneumologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000400389&lng=en&tlng=en |
| _version_ | 1818287284183629824 |
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| author | Juliana Duarte Leandro Olavo Ribeiro Rodrigues Annie France Frere Slaets Aurelino F. Schmidt Jr Milton L. Yaekashi |
| author_facet | Juliana Duarte Leandro Olavo Ribeiro Rodrigues Annie France Frere Slaets Aurelino F. Schmidt Jr Milton L. Yaekashi |
| author_sort | Juliana Duarte Leandro |
| collection | DOAJ |
| description | OBJECTIVE: To compare two thoracotomy closure techniques (pericostal and transcostal suture) in terms of postoperative pain and pulmonary function. METHODS: This was a prospective, randomized, double-blind study carried out in the Department of Thoracic Surgery of the Luzia de Pinho Melo Hospital das Clínicas and at the University of Mogi das Cruzes, both located in the city of Mogi das Cruzes, Brazil. We included 30 patients (18-75 years of age) undergoing posterolateral or anterolateral thoracotomy. The patients were randomized into two groups by the type of thoracotomy closure: pericostal suture (PS; n = 16) and transcostal suture (TS; n = 14). Pain intensity during the immediate and late postoperative periods was assessed by a visual analogic scale and the McGill Pain Questionnaire. Spirometry variables (FEV1, FVC, FEV1/FVC ratio, and PEF) were determined in the preoperative period and on postoperative days 21 and 60. RESULTS: Pain intensity was significantly greater in the PS group than in the TS group. Between the preoperative and postoperative periods, there were decreases in the spirometry variables studied. Those decreases were significant in the PS group but not in the TS group. CONCLUSIONS: The patients in the TS group experienced less immediate and late post-thoracotomy pain than did those in the PS group, as well as showing smaller reductions in the spirometry parameters. Therefore, transcostal suture is recommended over pericostal suture as the thoracotomy closure technique of choice. |
| first_indexed | 2024-12-13T01:38:02Z |
| format | Article |
| id | doaj.art-722bd3fd1bb44869a3dfbb31eaefee8a |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-12-13T01:38:02Z |
| publishDate | 2014-08-01 |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-722bd3fd1bb44869a3dfbb31eaefee8a2022-12-22T00:03:50ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562014-08-0140438939610.1590/S1806-37132014000400006S1806-37132014000400389Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary functionJuliana Duarte LeandroOlavo Ribeiro RodriguesAnnie France Frere SlaetsAurelino F. Schmidt JrMilton L. YaekashiOBJECTIVE: To compare two thoracotomy closure techniques (pericostal and transcostal suture) in terms of postoperative pain and pulmonary function. METHODS: This was a prospective, randomized, double-blind study carried out in the Department of Thoracic Surgery of the Luzia de Pinho Melo Hospital das Clínicas and at the University of Mogi das Cruzes, both located in the city of Mogi das Cruzes, Brazil. We included 30 patients (18-75 years of age) undergoing posterolateral or anterolateral thoracotomy. The patients were randomized into two groups by the type of thoracotomy closure: pericostal suture (PS; n = 16) and transcostal suture (TS; n = 14). Pain intensity during the immediate and late postoperative periods was assessed by a visual analogic scale and the McGill Pain Questionnaire. Spirometry variables (FEV1, FVC, FEV1/FVC ratio, and PEF) were determined in the preoperative period and on postoperative days 21 and 60. RESULTS: Pain intensity was significantly greater in the PS group than in the TS group. Between the preoperative and postoperative periods, there were decreases in the spirometry variables studied. Those decreases were significant in the PS group but not in the TS group. CONCLUSIONS: The patients in the TS group experienced less immediate and late post-thoracotomy pain than did those in the PS group, as well as showing smaller reductions in the spirometry parameters. Therefore, transcostal suture is recommended over pericostal suture as the thoracotomy closure technique of choice.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000400389&lng=en&tlng=enCirurgia torácicaTécnicas de suturaDor aguda |
| spellingShingle | Juliana Duarte Leandro Olavo Ribeiro Rodrigues Annie France Frere Slaets Aurelino F. Schmidt Jr Milton L. Yaekashi Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary function Jornal Brasileiro de Pneumologia Cirurgia torácica Técnicas de sutura Dor aguda |
| title | Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary function |
| title_full | Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary function |
| title_fullStr | Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary function |
| title_full_unstemmed | Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary function |
| title_short | Comparison between two thoracotomy closure techniques: postoperative pain and pulmonary function |
| title_sort | comparison between two thoracotomy closure techniques postoperative pain and pulmonary function |
| topic | Cirurgia torácica Técnicas de sutura Dor aguda |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000400389&lng=en&tlng=en |
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