Intracostal sutures decrease the pain of thoracotomy

Slides:



Advertisements
Similar presentations
The additional hospital costs generated in the management of complications of pacemaker and defibrillator implantations T.Bruce Ferguson, MD, Candice Lilley.
Advertisements

Right Infraaxillary Thoracotomy for Minimally Invasive Aortic Valve Replacement  Toshiaki Ito, MD, PhD, Atsuo Maekawa, MD, PhD, Satoshi Hoshino, MD, Yasunari.
Photodynamic Laser Therapy for Lesions in the Airway
Complete Thoracic Mediastinal Lymphadenectomy Leads to a Higher Rate of Pathologically Proven N2 Disease in Patients With Non-Small Cell Lung Cancer 
Noninvasive Screening for Pulmonary Hypertension by Exercise Testing in Congenital Heart Disease  Jan Müller, PhD, Pinar Bambul Heck, MD, Peter Ewert,
Impact of Race on Outcomes of Patients with Non-small Cell Lung Cancer
Robert L. Smith, MD, Morley A. Herbert, PhD, Todd M
Niv Ad, MD, Linda Henry, PhD, Sharon Hunt, MBA, Sari D. Holmes, PhD 
Phillips B. Harrington, MD, William W. McAlexander, MD, Ayesha S
Immunology and failure of valved allografts in children
Decreasing the Preincision Time for Pulmonary Lobectomy: The Process of Lean and Value Stream Mapping  Robert James Cerfolio, MD, MBA, Brad L. Steenwyk,
Robert J Cerfolio, MD, Cyndi Bass, MSN, Charles R Katholi, PhD 
Quality of Life in Patients Undergoing Totally Thoracoscopic Closure for Atrial Septal Defect  Zeng-Shan Ma, MD, PhD, Qiu-Yang Yin, RN, Ming-Feng Dong,
Catherine M. Avitabile, MD, David J
A Nondivided Intercostal Muscle Flap Further Reduces Pain of Thoracotomy: A Prospective Randomized Trial  Robert James Cerfolio, MD, Ayesha S. Bryant,
Amr Mohammad Allama, MD  The Annals of Thoracic Surgery 
The Benefits of Continuous and Digital Air Leak Assessment After Elective Pulmonary Resection: A Prospective Study  Robert J. Cerfolio, MD, Ayesha S.
Richard K. Freeman, MD, Anthony J. Ascioti, MD, Jaclyn M
The True False Negative Rates of Esophageal and Endobronchial Ultrasound in the Staging of Mediastinal Lymph Nodes in Patients With Non-Small Cell Lung.
Survival after resection of synchronous non–small cell lung cancer
When is it Best to Repeat a 2-Fluoro-2-Deoxy-d-Glucose Positron Emission Tomography/Computed Tomography Scan on Patients with Non-Small Cell Lung Cancer.
A Randomized Controlled Trial of Bupivacaine Through Intracostal Catheters for Pain Management After Thoracotomy  Mark S. Allen, MD, Lisa Halgren, RN,
The Incidence and Management of Postoperative Chylothorax After Pulmonary Resection and Thoracic Mediastinal Lymph Node Dissection  Ayesha S. Bryant,
Mark D. Iannettoni, MD, William R. Lynch, MD, Kalpaj R
Linda Henry, PhD, RN, Linda Halpin, MSN, RN, Sharon Hunt, MBA, Sari D
Philip W. Smith, MD, Hongkun Wang, PhD, Leo M. Gazoni, MD, K
The Efficacy of Restaging Endobronchial Ultrasound in Patients With Non-Small Cell Lung Cancer After Preoperative Therapy  Basil S. Nasir, MBBCh, Ayesha.
Improved Closure Technique for Uniportal Video-Assisted Thoracic Surgery: Double- Embedding Stitching Method  Lijian Huang, MD, Lufeng Zhao, MD, Wenshan.
A simplified technique for closing thoracostomy incisions
Assessment of Long-Term Postoperative Pain in Open Thoracotomy Patients: Pain Reduction by the Edge Closure Technique  Noriaki Sakakura, MD, Noriyasu.
Pleural Metastasis of Osteosarcoma
Public policy and the practicing physician
Robert J. Cerfolio, MD, FACS, FCCP, Ayesha S
Basil S. Nasir, MBBCh, Ayesha S. Bryant, MSPH, MD, Douglas J
Robert James Cerfolio, MD, FACS, FCCP, Ayesha S
Origins of the Cardiothoracic Surgery Network (CTSNet)
James D. St. Louis, MD  The Annals of Thoracic Surgery 
Who Do You Say You Are? The Annals of Thoracic Surgery
Saving Lives Is More Important Than Abstract Moral Concerns: Financial Incentives Should Be Used to Increase Organ Donation  Benjamin Hippen, MD, Lainie.
Use of Amiodarone After Major Lung Resection
Modified Ross Procedure to Prevent Autograft Dilatation
Management of Subcutaneous Emphysema After Pulmonary Resection
Lung Function and ECMO After Lung Transplantation
Commissural Closure for Repair of Mitral Commissural Prolapse
Kyle H. Cichos, BS, Paul L. Linsky, MD, Benjamin Wei, MD, Douglas J
Editorial Board, January 2010
Sarah C. Huen, MD, Chirag R. Parikh, MD, PhD 
Severe Two-Vessel Ostial Stenosis of the Main Coronary Arteries in a Patient With Transposition of the Great Arteries After an Arterial Switch Operation 
Daily Chest Roentgenograms Are Unnecessary in Nonhypoxic Patients Who Have Undergone Pulmonary Resection by Thoracotomy  Robert James Cerfolio, MD, Ayesha.
Roni M. Jacobsen, MD, Michael G. Earing, MD, Garick D
Distribution and Likelihood of Lymph Node Metastasis Based on the Lobar Location of Nonsmall-Cell Lung Cancer  Robert J. Cerfolio, MD, Ayesha S. Bryant,
Ayesha S. Bryant, MSPH, William L. Holman, MD, Navin C
Anirudh Vinnakota, MS, Robert Stewart, MD, Gosta Pettersson, MD, PhD 
Robert James Cerfolio, MD, FACS, FCCP, Ayesha S. Bryant, MSPH, MD 
Is there a role for pneumonectomy in pulmonary metastases?1
The Annals of Thoracic Surgery
Beware the malignant jellyfish
The Removal of Chest Tubes Despite an Air Leak or a Pneumothorax
Intracostal sutures decrease the pain of thoracotomy
Dual Inferior Vena Cava: Two Inferior Vena Cava Filters
Functional and Physiologic Results of Video-Assisted Thoracoscopic Diaphragm Plication in Adult Patients With Unilateral Diaphragm Paralysis  Richard.
Robert Lee Replogle, September 30, 1931–May 9, 2016
Robert J. Cerfolio, MD, FACS, FCCP, Ayesha S. Bryant, MSPH, MD 
Neal S Goldstein, MD  The Annals of Thoracic Surgery 
“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:
Experience With Bovine Pericardium for the Reconstruction of the Aortic Arch in Patients Undergoing a Norwood Procedure  Victor O. Morell, MD, Peter A.
Survival and Outcomes of Pulmonary Resection for Non-Small Cell Lung Cancer in the Elderly: A Nested Case-Control Study  Robert J. Cerfolio, MD, Ayesha.
Late Consequences of a Much Earlier Decision
Lobectomy Versus Limited Resection in T1N0 Lung Cancer
The Impact of New Technology on Cardiothoracic Surgical Practice
Presentation transcript:

Intracostal sutures decrease the pain of thoracotomy Robert J Cerfolio, MD, FACSa, Theolynn N Price, MD, Ayesha S Bryant, MSPH, Cynthia Sale Bass, RN, MSN, Alfred A Bartolucci, PhD  The Annals of Thoracic Surgery  Volume 76, Issue 2, Pages 407-412 (August 2003) DOI: 10.1016/S0003-4975(03)00447-8

Fig 1 This figure depicts how the stitches were placed in the group of patients who received pericostal sutures (P group), as viewed from the surgeon’s side during a right thoracotomy. The Annals of Thoracic Surgery 2003 76, 407-412DOI: (10.1016/S0003-4975(03)00447-8)

Fig 2 This figure depicts how the stitches were placed in the group of patients who received intracostal sutures (I group), as viewed from the surgeon’s side during a right thoracotomy. The Annals of Thoracic Surgery 2003 76, 407-412DOI: (10.1016/S0003-4975(03)00447-8)

Fig 3 Mean pain scores with standard deviations. (♦ = P group; ▩ = I group.) The Annals of Thoracic Surgery 2003 76, 407-412DOI: (10.1016/S0003-4975(03)00447-8)