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Ann Thorac Surg 2005;79:750
© 2005 The Society of Thoracic Surgeons

Correspondence

Use of Intracostal Sutures Reduces Thoracotomy Pain With Possible Risk of Lung Hernia: Another Measure for Prevention of Pain

Lucas H. A. Sanders, MD, FCS(SA), Mark A. J. Newman, MBBS, FRACS

Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands, WA 6009, Australia

lucmedi@hotmail.com

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the article by Cerfolio and colleagues [1] on decreased thoracotomy pain with the use of intracostal sutures. Since 1998, one of the surgeons in our group has routinely used four No. 2 Vicryl (Ethicon, Somerville, NJ) intracostal sutures for closure of thoracotomy wounds. Our technique for thoracotomy is similar to that described by Cerfolio and coauthors. Intercostal nerve block before spreading the ribs is not used.

In addition to the measures discussed by Cerfolio and associates, we also try to prevent possible damage to the intercostal nerve of the top . . . [Full Text of this Article]






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