Abstract：
OBJECTIVE:To assess the efficacy of intercostal nerve protection by intercostal muscle (ICM) flap in post-thoracotomy pain improvement compared to intracostal suturing. METHODS:In a randomized controlled trial, ninety-four patients undergoing posterolateral thoracotomy surgery were divided into two subgroups. Intracostal sutures in isolation and in combination with ICM flap techniques were used for thoracotomy closure in both groups. Numeric Pain Scale and Visual Pain Scale as pain scores were assessed on the first, second, third, fourth, fifth, sixth and seventh postoperative days and follow-up visits during the 2nd week, 1st, 2nd, 4th and 6th months after thoracotomy. RESULTS:Out of 94 patients, 58 were male and 36 were females. While the mean age of patients in intracostal group was 45.3 ± 17.6 years, it was 47.4 ± 16.1 years in intracostal plus ICM flap group. The mean operation time for the first group was 191.0 ± 74.7 minutes, while it was 219.3 ± 68.8 minutes in the second (p>0.05). Numeric rating score and visual pain scale did not demonstrate any significant difference in pain severity on postoperative days and follow-up visits between both groups (p>0.05). Although the trend of pain reduction was significant in each group (p<0.001), the difference was not statistically significant (p>0.001). CONCLUSION:Intracostal sutures in combination with muscle flap did not reduce postoperative pain in thoracotomy compared with intracostal sutures alone in thoracotomy closure.
journal_name
Pak J Med Scijournal_title
Pakistan journal of medical sciencesauthors
Montazer M,Hashemzade S,Gargari RM,Ramouz A,Sanaie S,Rasihashemi SZdoi
10.12669/pjms.331.11581subject
Has Abstractpub_date
2017-01-01 00:00:00pages
42-47issue
1eissn
1682-024Xissn
1681-715Xpii
PJMS-33-42journal_volume
33pub_type
杂志文章abstract：OBJECTIVE:To compare anti-albumin urea effects of Valsartan alone with combination of Valsartan and Amlodipine in patients of chronic kidney disease. METHODS:This randomized clinical trial was conducted at the Department of Medicine, Combined Military Hospital Bahawalpur, from April 2014 to 30 September 2014. 140 pati...
journal_title：Pakistan journal of medical sciences
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更新日期：2016-05-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.332.11710
更新日期：2017-03-01 00:00:00
abstract：Objective:To determine the quality of life of students of a private medical college in Karachi in Pakistan. Methods:This cross sectional study was conducted among 217 medical students of Liaquat College of Medicine and Dentistry, Karachi from June 2017 to March 2018. Students were selected by a stratified sampling met...
journal_title：Pakistan journal of medical sciences
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abstract：Background and Objective:Psycho-education of carers is a part of good mental health practice. Our objective was to translate and validate the English questionnaire "Assessment of Psycho-Education of Carers" (APEC) into Urdu (APEC-U), for use in Pakistan. Methods:Following development and validation of APEC, it was tra...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.35.4.661
更新日期：2019-07-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.345.15224
更新日期：2018-09-01 00:00:00
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journal_title：Pakistan journal of medical sciences
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.322.9439
更新日期：2016-03-01 00:00:00
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更新日期：2017-01-01 00:00:00
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journal_title：Pakistan journal of medical sciences
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更新日期：2019-07-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
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更新日期：2016-05-01 00:00:00
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更新日期：2019-11-01 00:00:00
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更新日期：2014-07-01 00:00:00
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更新日期：2013-01-01 00:00:00
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doi：10.12669/pjms.293.2995
更新日期：2013-05-01 00:00:00
abstract：OBJECTIVE:To evaluate the frequency of fetomaternal outcome of pregnancy with Mitral stenosis admitted in Civil Hospital Karachi. METHODS:It was a two years descriptive study done in the Department of Obstetrics and Gynaecology Civil Hospital Karachi. All pregnant women with a known or newly diagnosed Mitral stenosis ...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
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更新日期：2015-01-01 00:00:00
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更新日期：2020-11-01 00:00:00
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更新日期：2021-01-01 00:00:00
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更新日期：2020-05-01 00:00:00
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更新日期：2017-05-01 00:00:00
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更新日期：2013-05-01 00:00:00
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doi：10.12669/pjms.346.15942
更新日期：2018-11-01 00:00:00
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更新日期：2020-11-01 00:00:00
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pub_type： 杂志文章
doi：10.12669/pjms.312.6608
更新日期：2015-03-01 00:00:00
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journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.332.12093
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVE:To determine the risk factors and complications of puerperal sepsis. METHODS:This was an observational prospective Cohort study conducted from January 2011 to December 2011 at the Obstetrics and Gynaecology Department Liaquat University of Medical & Health Sciences Jamshoro/Hyderabad, Sindh Pakistan. During ...
journal_title：Pakistan journal of medical sciences
pub_type： 杂志文章
doi：10.12669/pjms.294.3389
更新日期：2013-07-01 00:00:00
