Title: Factors Associated with Chronic Post-Thoracotomy Pain -
Abstract: Thoracotomy is one of the surgical
procedures that present with increased
incidence of chronic postoperative pain
and discomfort. The related pain after
thoracotomy can provoke considerable
peri-operative as well as long-term
morbidity of notable intensity and
duration. Post-thoracotomy pain is
considered to be a result of the thoracic
structure damage, including damage to
ribs, muscles, peripheral nerves and
pleura. The surgical incision, the rib
retraction, the discontinuity of costal
pleura, trocar placement and suturing
are the possible pathogenic causes of
chronic post-thoracotomy pain. Various
techniques and prevention strategies
have been proposed in order to offer
satisfactory analgesia to postoperative
thoracotomy pain. Nevertheless, both
acute and chronic pain related to
thoracotomy continue to represent a
challenge for thoracic surgeons.
Recommenda tions can only be
established in this regard based on
unique studies, with a higher or lower
level of evidence depending on their
design. Well designed randomized
prospective studies are required to
evaluate the diverse technical variation
for the performance of thoracotomy and
their association with post-thoracotomy
pain.
Publication Year: 2013
Publication Date: 2013-01-01
Language: en
Type: article
Access and Citation
Cited By Count: 1
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