Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy

Vasileios Leivaditis; Konstantinos Grapatsas; Benjamin Ehle; Manfred Dahm; Antonios Chatzimichalis; Emmanuil Margaritis; Nikolaos Baltayiannis; Nikolaos Charokopos; George Sakellaropoulos; Georgios-Ioannis Verras; Dimitrios Schizas; Admir Mulita; Ioannis Panagiotopoulos; Francesk Mulita; Efstratios Koletsis

doi:10.5114/kitp.2023.131940

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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3/2023
vol. 20

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abstract:

Short communication

Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy

Vasileios Leivaditis

^{1, 2}

,

Konstantinos Grapatsas

³

,

Benjamin Ehle

⁴

,

Manfred Dahm

²

,

Antonios Chatzimichalis

⁵

,

Emmanuil Margaritis

¹

,

Nikolaos Baltayiannis

⁵

,

Nikolaos Charokopos

¹

,

George Sakellaropoulos

⁶

,

Georgios-Ioannis Verras

⁷

,

Dimitrios Schizas

⁸

,

Admir Mulita

⁶

,

Ioannis Panagiotopoulos

¹

,

Francesk Mulita

⁷

,

Efstratios Koletsis

¹

Department of Cardiothoracic Surgery, School of Medicine, University of Patras, Patras, Greece
Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, Germany
Department of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, West German Lung Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany
Department of Thoracic Surgery, Asklepios Lung Clinic Munich-Gauting, Gauting, Germany
Department of Thoracic Surgery, Metaxa Hospital, Piraeus, Greece
Department of Medical Physics, School Of Medicine, University of Patras, Patras, Greece
Department of General Surgery, University of Patras, Patras, Greece
First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece

Kardiochirurgia i Torakochirurgia Polska 2023; 20 (3): 193-199

DOI: https://doi.org/10.5114/kitp.2023.131940

Online publish date: 2023/10/30

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AMA

Leivaditis V, Grapatsas K, Ehle B, et al. Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2023;20(3):193-199. doi:10.5114/kitp.2023.131940.

APA

Leivaditis, V., Grapatsas, K., Ehle, B., Dahm, M., Chatzimichalis, A.,  & Margaritis, E. et al. (2023). Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 20(3), 193-199. https://doi.org/10.5114/kitp.2023.131940

Chicago

Leivaditis, Vasileios, Konstantinos Grapatsas, Benjamin Ehle, Manfred Dahm, Antonios Chatzimichalis, Emmanuil Margaritis,  and Nikolaos Baltayiannis et al. 2023. "Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 20 (3): 193-199. doi:10.5114/kitp.2023.131940.

Harvard

Leivaditis, V., Grapatsas, K., Ehle, B., Dahm, M., Chatzimichalis, A., Margaritis, E., Baltayiannis, N., Charokopos, N., Sakellaropoulos, G., Verras, G., Schizas, D., Mulita, A., Panagiotopoulos, I., Mulita, F.,  and Koletsis, E. (2023). Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 20(3), pp.193-199. https://doi.org/10.5114/kitp.2023.131940

MLA

Leivaditis, Vasileios et al. "Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 20, no. 3, 2023, pp. 193-199. doi:10.5114/kitp.2023.131940.

Vancouver

Leivaditis V, Grapatsas K, Ehle B, Dahm M, Chatzimichalis A, Margaritis E et al. Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2023;20(3):193-199. doi:10.5114/kitp.2023.131940.

PlumX metrics:

Minimally invasive thoracic techniques often need to be converted to open thoracotomy. Thoracotomy is associated with severe postoperative pain in 50% of the patients, and this situation can be maintained for a prolonged period. Many efforts have been made to avoid this complication. We propose an easy and fast thoracotomy closure technique to avoid nerve entrapment at the time of chest closure suitable for cases of conversion to thoracotomy after a minimally invasive attempt. The proposed method effectively avoids interference with the intercostal nerve, which remains intact and restores the anatomy of the intercostal space. Efforts to decrease postoperative pain are vital. Thoracic surgeons are the principal health professionals able to deal with operative factors and postoperative pain management. We believe that the use of this easy and fast technique can facilitate excellent anatomic repositioning of the ribs alongside nerve sparing.

keywords:

Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy

technique, thoracotomy, post-thoracotomy pain syndrome