Current Thoracic Surgery 2024 , Vol 9 , Issue 1
Is the double edge closure technique effective against post-thoracotomy pain in the long term?
Salih Bilen1,Celal Buğra Sezen2,Volkan Onur Yaran3,Meral Selin Onay Mahmuti2,Yunus Aksoy4,Cemal Aker2,Muzaffer Metin2
1Department of Thoracic Surgery, Bursa City Hospital, Bursa, Turkey
2Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul
3Department of Thoracic Surgery, Nazilli State Hospital, Aydın, Turkey
4Department of Thoracic Surgery, Sakarya University Training and Research Hospital, Sakarya, Turkey
DOI : 10.26663/cts.2024.005 Viewed : 906 - Downloaded : 260 Background: In this study, we aimed to evaluate the long-term pain and quality of life of patients following the pericostal closure (PC) and double edge closure (EC) techniques.

Materials and Methods: This prospective study was conducted between April 2019 and January 2021 with 60 patients who underwent thoracotomy and surgical resection for non-small cell lung cancer

Results: The median length of stay was 4 days for both the EC and PC groups (p = 0.608). Complications occurred in 11 patients (18.3%) overall, including 5 patients in the PC group (16.7%) and 6 patients in the EC group (20%). The complication rate did not differ significantly between the groups (p = 0.739). The most common complication was prolonged air leak (n = 9, 15%). Mean postoperative pain scores were lower in the EC group than in the PC group on the first 4 days and at 2 weeks (p < 0.05). While there was no difference between the two groups in terms of neuropathic pain at 6 months, an analysis of quality of life showed that the PC group experienced more perceived pain.

Conclusions: The EC technique was associated with less thoracotomy pain in the early postoperative period. However, it was not found to affect neuropathic pain in the long term. Keywords : thoracotomy, pain, double edge technique