@Article{Leivaditis2023,
journal="Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery",
issn="1731-5530",
volume="20",
number="3",
year="2023",
title="Modified pericostal suture technique to reduce postoperative pain and provide optimum anatomic restoration after conversion of minimally invasive thoracic surgery to thoracotomy",
abstract="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.",
author="Leivaditis, Vasileios
and Grapatsas, Konstantinos
and Ehle, Benjamin
and Dahm, Manfred
and Chatzimichalis, Antonios
and Margaritis, Emmanuil
and Baltayiannis, Nikolaos
and Charokopos, Nikolaos
and Sakellaropoulos, George
and Verras, Georgios-Ioannis
and Schizas, Dimitrios
and Mulita, Admir
and Panagiotopoulos, Ioannis
and Mulita, Francesk
and Koletsis, Efstratios",
pages="193--199",
doi="10.5114/kitp.2023.131940",
url="http://dx.doi.org/10.5114/kitp.2023.131940"
}