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Study aim
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The aim of this study is to compare intercostal sutures and periosteal sutures in patients undergoing thoracotomy.
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Design
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A clinical trial with two intervention groups, with parallel groups, three-blind, randomized, on 30 patients. Blocks of 4 were used for randomization.
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Settings and conduct
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The study is carried out in Semnan Kosar Hospital and in an interventional way and the patients are divided into two groups. One group, those whose chest is closed with pericostal sutures (PS) and another group, the group whose chest is closed with intracostal sutures (IS). In the PS group, Closing the chest is done by passing the suture close to the upper edge of the fifth rib and around it, as well as close to the lower edge of the sixth rib and around it, and finally pulling them together, and in the IS group, with the help of Manual drill, 4 holes are created in the selected (lower) rib, then the stitches pass through these two holes and go around the upper rib.
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Participants/Inclusion and exclusion criteria
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People under 18 years old and over 80 years old, history of previous injury to the chest, either trauma or surgery, neurological diseases, history of chemotherapy, history of radiotherapy, history of stroke and impaired consciousness, are excluded from the study.
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Intervention groups
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In the two studied groups, after thoracotomy surgery, the chest is closed in two different ways; In one group with intracostal sutures and in the other group with pericostal sutures
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Main outcome variables
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Comparison of the amount of pain in two groups ; Comparison of the amount of palliative requests in two groups; Comparison of the ability to work with an incentive spirometry device in two groups; Comparison of hospitalization duration in two groups;