Original pericostal suture sparing the neurovascular bundle for prevention of post-thoracotomy pain syndrome after video-assisted mini-thoracotomy

Pilkevich D.N.; Chekasina M.A.

doi:https://doi.org/10.17116/hirurgia202505151

Pilkevich D.N.

Ural State Medical University;
National Medical Research Center of Phthisiopulmonology and Infectious Diseases

ORCID: 0000-0002-0320-2869

Chekasina M.A.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases

ORCID: 0000-0001-8342-1334

Original pericostal suture sparing the neurovascular bundle for prevention of post-thoracotomy pain syndrome after video-assisted mini-thoracotomy

Authors:

Pilkevich D.N., Chekasina M.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(5): 51‑57

DOI: 10.17116/hirurgia202505151

Read: 446 times

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To cite this article:

Pilkevich DN, Chekasina MA. Original pericostal suture sparing the neurovascular bundle for prevention of post-thoracotomy pain syndrome after video-assisted mini-thoracotomy. Pirogov Russian Journal of Surgery. 2025;(5):51‑57. (In Russ.)
https://doi.org/10.17116/hirurgia202505151

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Abstract:

OBJECTIVE

To prevent post-thoracotomy pain syndrome and its consequences after video-assisted mini-thoracotomy using original pericostal suture sparing the neurovascular bundle.

MATERIAL AND METHODS

Original pericostal suture sparing the neurovascular bundle was developed to prevent post-thoracotomy pain syndrome. A prospective cohort controlled randomized clinical trial with 2-month follow-up was conducted to estimate postoperative pain syndrome after various pericostal sutures. The study included 71 patients who underwent video-assisted atypical lung resections for various lung diseases (29 women and 42 men aged 41.2 ±5.1 years). All patients were divided into 2 groups: group I — standard pericostal suture; group II — original pericostal suture sparing the neurovascular bundle.

RESULTS

Intensity of pain after 1—2 postoperative days was higher by 43.2% in the 1^st group, at discharge — by 85.8%. Mean area of paresthesia was less by 39.7% after 1 postoperative month and by 28.8% after 2 months in the 2^nd group.

CONCLUSION

Original pericostal suture with subperiosteal canal through detachment of neurovascular bundle from the underlying rib reduces the incidence of post-thoracotomy pain syndrome.

Keywords:

video-assisted minithoracotomy

pericostal suture

postthoracotomy pain syndrome

Authors:

Pilkevich D.N.

Ural State Medical University;
National Medical Research Center of Phthisiopulmonology and Infectious Diseases

ORCID: 0000-0002-0320-2869

Chekasina M.A.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases

ORCID: 0000-0001-8342-1334

Received:

24.07.2024

Accepted:

16.12.2024

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