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Pain syndrome after thoracotomy (PTPS) is defined by the International Association for the Study of Pain (IASP) as “recurring or persistent pain within at least two weeks of thoracotomy incisions.
Months after surgery.
”
The main causes of PTPS include postoperative acuteness.
Pain, surgery-related nerve damage and changes in the
neuroplasticity of the central nervous system.
Dorsal root ganglion stimulation (DRG-S) is a kind of neuromodulation targeting DRG, which inhibits the high excitability and ectopic discharge of DRG by preventing pain signals from being transmitted to the brain; these two processes are considered to be central sensitivity The main cause of hyperalgesia and hyperalgesia
.
DRG-S, like spinal cord stimulation, traditionally requires patients to go through a trial period (usually three months) using temporary external equipment to evaluate effectiveness and determine potential adverse side effects
.
Implantable stimulation location
All patients who underwent surgery at the Thoracic Surgery Center from September 2018 to February 2019 were included.
These patients had PTPS with neuropathic features and received DRG-S treatment in the pain treatment room
Patient test results
The incidence of PTPS after chest surgery was 15.
6% (8/51), and the PTPS rate of DRG-S treatment was 7.
8% (4/51)
.
Four patients (average age 56 years old) eligible for this study
.
Preliminary results indicate that DRG-S is an effective method for the treatment of PTPS after chest surgery
.
In addition, the thoracic paravertebral block performed before DRG-S was associated with a positive outcome of the treatment
.
Lo Bianco, G.
Lo Bianco, G.
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