Comparison between Intercostal versus Pericostal Thoracotomy Closure Techniques in patients undergoing thoracic surgery | ||||
| ARCADEs of MEDICINE | ||||
| Articles in Press, Accepted Manuscript, Available Online from 14 June 2025 | ||||
| Document Type: Original Research | ||||
| DOI: 10.21608/arcmed.2025.375205.1113 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Radwan1; Mohamed Aboeldahab2; Omar Wagdy   1; Tarek Mohsen3; Ahmed Mahmoud Salama1
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| 1Armed forces college of medicine | ||||
| 2Armed Forces college of medicine | ||||
| 3Armed Forces College of medicine | ||||
| Abstract | ||||
| Comparison between Intercostal versus Pericostal Thoracotomy Closure Techniques in patients undergoing thoracic surgery Abstract Background: Both intercostal and pericostal techniques are adopted for thoracotomy closure during thoracic surgery. However, they differ in many aspects in the post operative outcome regarding pain and length of hospital stay. There is a little evidence comparing both techniques among patients undergoing thoracic surgery in Egypt. Aim: To compare the postoperative early and late outcomes between intercostal and pericostal thoracotomy closure techniques regarding: Pain, , Length of hospital stay (LOS), return to normal activity Patients and Methods: This prospective randomized study was conducted on 80 patients undergoing thoracotomy for various indications admitted at the cardiothoracic surgery outpatient clinic of Armed Forces Medical Complex at Kobri El-Kobba. They were randomly assigned to one of two groups. Group A (N=40): Patients undergoing thoracotomy for various indications and underwent pericostal technique. Group B (N=40): Patients undergoing thoracotomy for various indications and underwent intercostal technique. Results: Pain was significantly higher in Group 2 compared to group 1 in all different measurements (P<0.001). Return to normal activities was significantly faster in intercostal technique group compared to peri costal technique group Conclusions: The intercostal technique offered a faster return to normal activities and reduced incidence of wound infections compared to the peri-costal technique. Also, patients who underwent the pericostal approach experienced higher levels of pain in postoperative recovery period. Keywords: Thoracotomy, post thoracotomy pain, intercostal technique, pericostal technique | ||||
| Keywords | ||||
| intercostal closure; pericostal closure; pain post throcotomy | ||||
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