Effect of Partial Rib Resection On the Control of Post-thoracotomy Pain
NCT ID: NCT04990700
Last Updated: 2021-08-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
35 participants
INTERVENTIONAL
2019-05-09
2020-11-27
Brief Summary
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Detailed Description
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Before the thoracotomy incision, simple randomization will be performed by flipping a coin.
Routine thoracotomy incision will be performed in the control group. In the intervention group, approximately 1 cm segment of the 6th rib will be excised with a rib scissors before the thorax retractor was placed.
Pericostal suture technique will be used in both groups at thoracotomy closure. Demographic information of the cases, preoperative respiratory function parameters, body mass index, Visual Analogue Scale scores, complications and analgesic doses will be recorded in the Case Report Form regularly.
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
PREVENTION
SINGLE
Study Groups
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Control Group
Includes patients undergoing routine thoracotomy
No interventions assigned to this group
Intervention Group
The group that will undergo 1 cm partial rib resection during thoracotomy.
Partial rib resection
1 cm partial rib resection during thoracotomy opening
Interventions
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Partial rib resection
1 cm partial rib resection during thoracotomy opening
Eligibility Criteria
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Inclusion Criteria
* Participants signing an informed consent form
Exclusion Criteria
* Invasion of the thoracic wall by extrathoracic malignancy
* Pleural pathology
* History of previous rib fracture
* History of previous thoracotomy
* History of thoracic radiotherapy
* Emergency surgery
* Simultaneous incisions other than thoracotomy
18 Years
80 Years
ALL
Yes
Sponsors
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Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital
OTHER
Responsible Party
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İsmail Dal
Principal Investigator
Principal Investigators
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İsmail Dal, PhD
Role: PRINCIPAL_INVESTIGATOR
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital
Locations
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Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital
Istanbul, , Turkey (Türkiye)
Countries
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References
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Gerner P. Postthoracotomy pain management problems. Anesthesiol Clin. 2008 Jun;26(2):355-67, vii. doi: 10.1016/j.anclin.2008.01.007.
Meyers JR, Lembeck L, O'Kane H, Baue AE. Changes in functional residual capacity of the lung after operation. Arch Surg. 1975 May;110(5):576-83. doi: 10.1001/archsurg.1975.01360110122020.
Katz J, Jackson M, Kavanagh BP, Sandler AN. Acute pain after thoracic surgery predicts long-term post-thoracotomy pain. Clin J Pain. 1996 Mar;12(1):50-5. doi: 10.1097/00002508-199603000-00009.
Soto RG, Fu ES. Acute pain management for patients undergoing thoracotomy. Ann Thorac Surg. 2003 Apr;75(4):1349-57. doi: 10.1016/s0003-4975(02)04647-7.
Wu N, Yan S, Wang X, Lv C, Wang J, Zheng Q, Feng Y, Yang Y. A prospective, single-blind randomised study on the effect of intercostal nerve protection on early post-thoracotomy pain relief. Eur J Cardiothorac Surg. 2010 Apr;37(4):840-5. doi: 10.1016/j.ejcts.2009.11.004. Epub 2009 Dec 1.
El-Hag-Aly MA, Hagag MG, Allam HK. If post-thoracotomy pain is the target, Integrated Thoracotomy is the choice. Gen Thorac Cardiovasc Surg. 2019 Nov;67(11):955-961. doi: 10.1007/s11748-019-01126-2. Epub 2019 Apr 16.
Other Identifiers
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SiyamiErsek
Identifier Type: -
Identifier Source: org_study_id
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