Incidence of chest wall paresthesia after video-assisted thoracic surgery for primary spontaneous pneumothorax

Sihoe, Alan D.L.; Au, Sylvia S.W.; Cheung, Mabel L.; Chow, Ivan K.L.; Chu, Ka Man; Law, Chun Yat; Wan, Maxim; Yim, Anthony P.C.
June 2004
European Journal of Cardio-Thoracic Surgery;Jun2004, Vol. 25 Issue 6, p1054
Academic Journal
Objective: Video-assisted thoracic surgery (VATS) is an established treatment for recurrent or complicated primary spontaneous pneumothorax (PSP). However, a proportion of patients still complains of chronic pain or discomfort after VATS pleurodesis. We aimed to investigate if paresthesia is a distinct component of the post-operative discomfort in patients receiving VATS for PSP. Methods: Telephone interviews were conducted with 52 patients who had received VATS pleurodesis for PSP in our institute during a defined 24 month period. A standardized questionnaire was used to identify paresthetic discomforts which the patients themselves could distinguish from their wound pain. Responses were obtained from 51 patients (42 male, 9 female) with a mean age of 24.1 years (range 14–63 years), giving a response rate of 98.0%. Results: With a median observation time of 19 months (range 2–24 months), 27 patients (52.9%) reported experiencing paresthesia as a post-operative complication distinct from their wound pain. The most commonly described characteristics of the paresthesia were ‘pins and needles’ (37.0%), ‘numbness’ (25.9%) or a sensation of abnormal ‘swelling’ in the chest wall (11.1%). Although only two of the affected patients (7.4%) described the paresthesia as ‘severe’, consequent functional disturbances in daily life were noted by seven patients (25.9%), and 11 patients (40.7%) actively sought medical or alternative, holistic therapies to relieve the paresthesia. Eight (21.0%) of the 38 patients followed-up for over 12 months after surgery still experienced the paresthesia. Conclusions: Although it should not detract from the proven advantages of VATS, paresthesia in the chest wall represents a distinct but previously overlooked post-VATS complication. It is a potential source of significant post-operative morbidity, and may run a chronic course in some patients. Further study is warranted to elucidate its mechanisms and optimum management.


Related Articles

  • Recent Advances and Patents on Chest Drainage Systems. Fujiki, Masako; Shiose, Akira; Fukamachi, Kiyotaka // Recent Patents on Biomedical Engineering;Jun2010, Vol. 3 Issue 2, p115 

    Chest drainage systems have been used routinely in patients following cardiac and thoracic surgeries, as well as patients suffering from chest trauma and lung disease. Maintaining the patency of chest tubes is vital so that one can evacuate abnormal collections of air and fluid from the...

  • Massive haemoptysis 27 years after surgery for coarctation of the aorta. Pearse, E. O.; Bryan, A. J. // Journal of the Royal Society of Medicine;Dec2001, Vol. 94 Issue 12, p640 

    The article focuses on the complication of hemoptysis in a patient with a history of thoracic surgery. Massive haemoptysis is expectoration of a person between 200 millimeter and 1,000 millimeter of blood within 24 hours. The mentioned disease is caused by primary diseases of the lung parenchyma...

  • Vacuum-assisted closure therapy in the management of lung abscess. Sziklavari, Zsolt; Ried, Michael; Hofmann, Hans-Stefan // Journal of Cardiothoracic Surgery;2014, Vol. 9 Issue 1, p1 

    Background Despite significant advances in the treatment of thoracic infections, complex lung abscess remains a problem in modern thoracic surgery. We describe the novel application of vacuumassisted closure for the treatment of a lung abscess. The technical details and preliminary results are...

  • Epidural ropivacaine infusion for the treatment of pain following axillary muscle-sparing thoracotomy: a dose-evaluation study. Sakai, Tetsuya; Tomiyasu, Shiro; Sumikawa, Koji // Journal of Anesthesia;2007, Vol. 21 Issue 3, p320 

    We aimed to investigate the optimal dose of continuous epidural ropivacaine for effective analgesia with minimal side effects after axillary muscle-sparing thoracotomy. Sixty patients undergoing thoracic surgery via the axillary approach were studied. Patients were given continuous epidural...

  • Parenchyma Sparing Procedures Is Possible For most Pulmonary Hydatid Disease Without Recurrence and Low Complications. Kabiri, El Hassane; Traibi, Akram; El Hammoumi, Massime; El Oueriachi, Faycal; Arsalane, Adil // Medical Archives / Medicinski Arhiv;2012, Vol. 66 Issue 5, p332 

    Objective: A retrospective review of 223 patients (242 operations) of pulmonary hydatid cysts. We analyze and evaluate our experience in the surgical management of this Moroccan endemic disease and concluded that parenchyma-saving must be always used. Materials and methods: In an 8 year period...

  • Video-Assisted Thoracoscopic Surgery for Recurrent Spontaneous Pneumothorax: The Long-term Benefit. Ben-Nun, A.; Soudack, M.; Best, L. A. // World Journal of Surgery;Mar2006, Vol. 30 Issue 3, p285 

    Background: Management of recurrent primary spontaneous pneumothorax by open surgery was considered the treatment of choice until recently. The major drawbacks of this management are the prolonged postoperative pain and cosmetic results. In the last decade, video-assisted thoracoscopic surgery...

  • Video-assisted thoracic surgery complications. Łochowski, Mariusz P.; Kozak, Józef // Videosurgery & Other Miniinvasive Techniques / Wideochirurgia i;Dec2014, Vol. 9 Issue 4, p495 

    Video-assisted thoracic surgery (VATS) is a miniinvasive technique commonly applied worldwide. Indications for VATS are very broad and include the diagnosis of mediastinal, lung and pleural diseases, as well as large resection procedures such as pneumonectomy. The most frequent complication is...

  • Minithoracotomy with Video-assisted Thoracic Surgery for Spontaneous Pneumothorax: Results of Subtotal Parietal Pleurectomy Versus Pleural Abrasion.  // Thai Journal of Surgery;Apr-Jun2010, Vol. 31 Issue 2, p43 

    No abstract available.

  • A propose of pulmonary dysfunction stratification after valve surgery by physiotherapeutic assistance level. Franco, Satiko Shimada; Sá Malbouisson, Luiz Marcelo; Grinberg, Max; Zanetti Feltrim, Maria Ignêz // Brazilian Journal of Cardiovascular Surgery;Mar/Apr2015, Vol. 30 Issue 2, p188 

    Objective: a) to propose and implement an evaluation system; b) to classify the pulmonary involvement and determine levels of physical therapy; c) to check the progress postoperatively. Methods: Patients underwent physiotherapy assessment preoperatively, postoperatively and after 5 days of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics