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Erschienen in:
07.07.2022 | Letter to Editor
Letter to the Editor: Effect of Resection of One Cm of Posterior End of the Rib During Thoracotomy on Postoperative Pain
Erschienen in: Indian Journal of Surgery | Sonderheft 2/2023
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We studied a new surgical technique to reduce acute post thoracotomy pain. This case series analysis study was conducted in a single center in 2019–2020. This study was registered retrospectively on ClinicalTrials.gov on 27.7.2021, numbered NCT04990700. Patients between 18 and 80 years of age and undergoing thoracotomy were included. Patients with chest wall tumors, chest wall invasion, previous rib fractures, or previous thoracotomy history; patients with a history of thoracic radiotherapy; patients who underwent concomitant extra-thoracic surgery; and patients who underwent emergency surgery were excluded from the study. In the intervention group, 1 cm partial rib resection was performed (Fig. 1). In the control group, routine thoracotomy technique was applied. In both groups, thoracotomy closure was performed using the same technique, and pericostal sutures were used. Visual analog scale scores and complications were followed up and recorded in the postoperative period in both groups.
Fig. 1
Surgical technique; a Sixth rib encircled. b Rib cut with costotome. c Appearance after rib resection. d Resected rib segment
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