Featured Research

from universities, journals, and other organizations

Modified Surgical Technique Further Reduces Lung Surgery Pain

Date:
June 10, 2008
Source:
University of Alabama at Birmingham
Summary:
A simple variation in a surgical technique to reduce acute and chronic pain following lung surgery further reduces pain and helps return patients to normal activity quicker than the previous technique.

A simple variation in a surgical technique developed at the University of Alabama at Birmingham (UAB) to reduce acute and chronic pain following lung surgery further reduces pain and helps return patients to normal activity quicker than the previous technique, according to a study published in the June issue of the Annals of Thoracic Surgery.

Instead of crushing the intercostal muscle and nerve that lies between the ribs during rib spreading when performing a lung resection, UAB Chief of Thoracic Surgery Robert J. Cerfolio, M.D., teases the muscle and nerve away from the rib and then moves it out of the way before spreading the ribs. This leads to less trauma to the muscle and intercostal nerve and dramatically reduces post-operative pain.

This new technique is a further modification of a concept that Cerfolio and colleagues reported in 2005. As reported in that paper, the technique divided, then moved, the intercostal muscle and the nerve away from the rib spreader so it was not crushed. In this new modification, the muscle is no longer divided but is allowed to dangle under the rib spreader, further avoiding trauma to the nerve and muscle.

For the 160 patients participating in this study, those who received the modified muscle flap technique reported that pain was reduced both in the hospital and after surgery at weeks three, four, eight and 12. Those who received the modified muscle flap procedure had lower pain scores and required less pain medications than those who did not. They also were more likely to return to normal activities within eight to 12 weeks after the surgery.

The study used sophisticated, objective measurements of pain, including multiple pain score surveys, and measurements of patients' pain medication usage.

The original idea for the Cerfolio technique was generated from an earlier study Cerfolio published in the Annals of Thoracic Surgery in 2004. "In the first study, we found a way to avoid injury to the intercostal nerve that lies below the sixth rib during closure by drilling holes in the ribs so the closure stitches would not entrap that nerve," Cerfolio said. "Then, I got the idea that maybe we could further reduce the pain by avoiding the intercostal nerve and muscle that lie above the sixth rib during opening and came up with the idea of harvesting the intercostal muscle flap prior to chest retraction. As surgeons, we are constantly looking for ways to improve techniques and reduce pain."

To date, a number of surgeons and other clinical staff from all over the world, including, Denmark, The Netherlands, Germany, France and Spain have recently come to UAB to observe Cerfolio perform lung surgery and learn this new technique. Cerfolio is recognized as one of the busiest thoracic surgeons in the world and performs more than 1,200 surgeries each year.


Story Source:

The above story is based on materials provided by University of Alabama at Birmingham. Note: Materials may be edited for content and length.


Cite This Page:

University of Alabama at Birmingham. "Modified Surgical Technique Further Reduces Lung Surgery Pain." ScienceDaily. ScienceDaily, 10 June 2008. <www.sciencedaily.com/releases/2008/06/080606122902.htm>.
University of Alabama at Birmingham. (2008, June 10). Modified Surgical Technique Further Reduces Lung Surgery Pain. ScienceDaily. Retrieved July 25, 2014 from www.sciencedaily.com/releases/2008/06/080606122902.htm
University of Alabama at Birmingham. "Modified Surgical Technique Further Reduces Lung Surgery Pain." ScienceDaily. www.sciencedaily.com/releases/2008/06/080606122902.htm (accessed July 25, 2014).

Share This




More Health & Medicine News

Friday, July 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com
Condemned Man's US Execution Takes Nearly Two Hours

Condemned Man's US Execution Takes Nearly Two Hours

AFP (July 24, 2014) America's death penalty debate raged Thursday after it took nearly two hours for Arizona to execute a prisoner who lost a Supreme Court battle challenging the experimental lethal drug cocktail. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
Can Watching TV Make You Feel Like A Failure?

Can Watching TV Make You Feel Like A Failure?

Newsy (July 24, 2014) A study by German researchers claims watching TV while you're stressed out can make you feel guilty and like a failure. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

    Health News

      Environment News

        Technology News



          Save/Print:
          Share:

          Free Subscriptions


          Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

          Get Social & Mobile


          Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

          Have Feedback?


          Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
          Mobile: iPhone Android Web
          Follow: Facebook Twitter Google+
          Subscribe: RSS Feeds Email Newsletters
          Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins