Current treatment options for post-thoracotomy pain syndrome: a review
Journal Title: Current Thoracic Surgery - Year 2017, Vol 2, Issue 3
Abstract
Thoracotomy is one of the most painful surgical procedures known. Chronic pain in the postoperative period after thoracotomy is a common complication. Post-thoracotomy pain syndrome (PTPS) is a chronic pain with neuropathic and non-neuropathic components, continuing after 2 months of thoracotomy, causing disability by affecting the daily activities and functions of patients. Patients generally describe neuropathic symptoms such as hyperalgesia, allodynia, hypoesthesia at the site of the incision or related dermatomes. Etiology includes preoperative, intraoperative and postoperative factors. Although the mechanism of PTPS formation is not clear yet, the most common cause is the intercostal nerve injury. PTPS treatment is complex because of the neuropathic component of the pain. The risk of PTPS formation can be reduced by controlling early pain before the onset of the disease. When pain occurs, medical treatments are implemented and also minimally invasive interventional procedures could be performed if necessary.
Authors and Affiliations
Elif Yakşi, Osman Yakşi
Keywords
Related Articles
- EP ID EP293635
- DOI 10.26663/cts.2017.0020
- Views 90
- Downloads 0
The differential diagnostic role of PET-CT in sarcoidosis and lymphoma
Background: Mediastinal lymphadenopathy (MLAP) is observed in various conditions of malignant or benign diseases. The two common diseases leading to MLAP are mediastinal lymphomas and sarcoidosis. The aim of study is to...
Diagnosis and treatment of spontaneous pneumomediastinum is not complicated
Background: Spontaneous pneumomediastinum is a rare and usually benign finding in young male patient without a history. When subcutaneous emphysema occurs, the patient and medical physicians feel uneasy about the view of...
Pulmonary alveolar proteinosis: a case report
Pulmonary alveolar proteinosis (PAP) is a rare disease characterized by accumulation of material in the alveoli of the lungs. It is generally diagnosed in middle-aged men. The most common complaints are cough and dyspnea...
Effect of tumor size on survival in pN0M0 non-small cell lung cancer patients
Background: Tumor size is one of the major prognostic determinants of non-small cell lung cancer (NSCLC). In the present study, we evaluated the effect of tumor size on survival in pN0M0 NSCLC patients. Materials and Met...
Penetrating chest trauma with a dagger: an appalling case at the emergency department
Penetrating chest traumas constitute nearly one third of all chest traumas with a high high mortality and morbidity. Herein we present a 29-year-old male patient presented at the emergency department with a the penetrati...