Yıl: 2021 Cilt: 4 Sayı: 2 Sayfa Aralığı: 107 - 112 Metin Dili: İngilizce DOI: 10.30714/j-ebr.2021267973 İndeks Tarihi: 18-06-2021

Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery

Öz:
Aim: To investigate the complications that occur in our patients who underwent thoracic surgery, as well asthe relationship between postoperative pain and complications.Method: Of the 117 patients who underwent surgery between January 2018 and December 2018, there were99 patients with pain and the other parameters whose data’s were complete. Medical records of the patientswere investigated in terms of age, gender, smoking status and frequency, diagnosis, treatment, length of stayin the hospital, postoperative complications and visual analog scale (VAS). The postoperative complicationsand VAS values were compared statistically.Results: The mean age of the patients was 50.52±18.46 years, 26 (26.3%) patients were female and 73 (73.7%)were male. The average length of stay in hospital was 4.08±3.06 days and average pain severity was 3.92±2.07.The most common diagnosis in our cases was lung cancer, and the most common complication was prolongedair leakage. There was a significant relationship between the severity of pain and the presence of postoperativecomplications in our patients (p=0.001). However, the correlation relationship was found to be low (r=0.322).Conclusion: The results of our study revealed that optimal postoperative pain control is an important factorfor preventing postoperative complications.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • [1]Marshall K, McLaughlin K. Pain Management in Thoracic Surgery. Thorac Surg Clin. 2020;30(3):339-46.
  • [2]Elmore B, Nguyen V, Blank R, et al. Pain Management Following Thoracic Surgery. Thorac Surg Clin. 2015;25(4):393-409.
  • [3]Gottschalk A, Cohen SP, Yang S, et al. Preventing and treating pain after thoracic surgery. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2006;104(3):594-600.
  • [4]Kolettas A, Lazaridis G, Baka S, et al Postoperative pain management. J Thorac Dis. 2015;7(Suppl 1):S62-72.
  • [5]Bayman EO, Brennan TJ. Incidence and severity of chronic pain at 3 and 6 months after thoracotomy: meta-analysis. J Pain. 2014;15(9):887-97.
  • [6]Karmakar MK, Ho AM. Postthoracotomy pain syndrome. Thoracic surgery clinics. 2004;14(3):345-52.
  • [7]Mongardon N, Pinton-Gonnet C, Szekely B, et al. Assessment of chronic pain after thoracotomy: a 1-year prevalence study. The Clin J Pain. 2011;27(8):677-81.
  • [8]Fernandez FG, Kosinski AS, Furnary AP, et al. Differential effects of operative complications on survival after surgery for primary lung cancer. J Thorac Cardiovasc Surg. 2018;155(3):1254-1264.e1.
  • [9]Kaufmann K, Heinrich S. Minimizing postoperative pulmonary complications in thoracic surgery patients. Curr Opin Anaesthesiol. 2021;34(1):13-19.
  • [10]Keshava HB, Boffa DJ. Cardiovascular Complications Following Thoracic Surgery. Thorac Surg Clin. 2015;25(4):371-92.
  • [11]Pedoto A, Perrino AC Jr. Delayed recovery following thoracic surgery: persistent issues and potential interventions. Curr Opin Anaesthesiol. 2019;32(1):3-9.
  • [12]Licker MJ, Widikker I, Robert J, et al. Operative mortality and respiratory complications after lung resection for cancer: impact of chronic obstructive pulmonary disease and time trends. The Annals of thoracic surgery. 2006;81(5):1830-37.
  • [13]Bodian CA, Freedman G, Hossain S, Eisenkraft JB, Beilin Y. The visual analog scale for pain: clinical significance in postoperative patients. Anesthesiology. 2001;95(6):1356-61.
  • [14]Katz J, Melzack R: Measurement of pain. Surg Clin North Am 1999; 79: 231–52
  • [15]García-Miguel FJ, Serrano-Aguilar PG, López-Bastida J. Preoperative assessment. Lancet. 2003;362(9397):1749-57.
  • [16]Boffa DJ, Allen MS, Grab JD, et al. Data from The Society of Thoracic Surgeons General Thoracic Surgery database: the surgical management of primary lung tumors. J Thorac Cardiovasc Surg. 2008;135(2):247-54.
  • [17]Brescia AA, Harrington CA, Mazurek AA, et al. Factors Associated With New Persistent Opioid Usage After Lung Resection. Ann Thorac Surg. 2019;107(2):363-68.
  • [18]Wright CD, Gaissert HA, Grab JD, et al. Predictors of prolonged length of stay after lobectomy for lung cancer: a Society of Thoracic Surgeons General Thoracic Surgery Database risk-adjustment model. Ann Thorac Surg. 2008;85(6):1857-65; discussion 1865.
  • [19]Berrisford R, Brunelli A, Rocco G, et al. Audit and guidelines committee of the European Society of Thoracic Surgeons; European Association of Cardiothoracic Surgeons. The European Thoracic Surgery Database project: modelling the risk of inhospital death following lung resection. Eur J Cardiothorac Surg. 2005;28(2):306-11.
  • [20]Hazelrigg SR, Cetindag IB, Fullerton J. Acute and chronic pain syndromes after thoracic surgery. Surg Clin North Am. 2002;82(4):849-65.
  • [21]Landreneau RJ, Hazelrigg SR, Mack MJ, et al. Postoperative pain-related morbidity: video-assisted thoracic surgery versus thoracotomy. Ann Thorac Surg. 1993;56(6):1285-89.
  • [22]Hanna MN, Murphy JD, Kumar K, et al. Postoperative pain management in the elderly undergoing thoracic surgery. Thorac Surg Clin. 2009;19(3):353-61.
APA Yakşi O, OZEL A, Yakşi E, Kilicgun A (2021). Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. , 107 - 112. 10.30714/j-ebr.2021267973
Chicago Yakşi Osman,OZEL ALP,Yakşi Elif,Kilicgun Ali Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. (2021): 107 - 112. 10.30714/j-ebr.2021267973
MLA Yakşi Osman,OZEL ALP,Yakşi Elif,Kilicgun Ali Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. , 2021, ss.107 - 112. 10.30714/j-ebr.2021267973
AMA Yakşi O,OZEL A,Yakşi E,Kilicgun A Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. . 2021; 107 - 112. 10.30714/j-ebr.2021267973
Vancouver Yakşi O,OZEL A,Yakşi E,Kilicgun A Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. . 2021; 107 - 112. 10.30714/j-ebr.2021267973
IEEE Yakşi O,OZEL A,Yakşi E,Kilicgun A "Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery." , ss.107 - 112, 2021. 10.30714/j-ebr.2021267973
ISNAD Yakşi, Osman vd. "Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery". (2021), 107-112. https://doi.org/10.30714/j-ebr.2021267973
APA Yakşi O, OZEL A, Yakşi E, Kilicgun A (2021). Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. Experimental Biomedical Research, 4(2), 107 - 112. 10.30714/j-ebr.2021267973
Chicago Yakşi Osman,OZEL ALP,Yakşi Elif,Kilicgun Ali Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. Experimental Biomedical Research 4, no.2 (2021): 107 - 112. 10.30714/j-ebr.2021267973
MLA Yakşi Osman,OZEL ALP,Yakşi Elif,Kilicgun Ali Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. Experimental Biomedical Research, vol.4, no.2, 2021, ss.107 - 112. 10.30714/j-ebr.2021267973
AMA Yakşi O,OZEL A,Yakşi E,Kilicgun A Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. Experimental Biomedical Research. 2021; 4(2): 107 - 112. 10.30714/j-ebr.2021267973
Vancouver Yakşi O,OZEL A,Yakşi E,Kilicgun A Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery. Experimental Biomedical Research. 2021; 4(2): 107 - 112. 10.30714/j-ebr.2021267973
IEEE Yakşi O,OZEL A,Yakşi E,Kilicgun A "Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery." Experimental Biomedical Research, 4, ss.107 - 112, 2021. 10.30714/j-ebr.2021267973
ISNAD Yakşi, Osman vd. "Postoperative complications and its relationship with the severity of postoperative pain in patients undergoing thoracic surgery". Experimental Biomedical Research 4/2 (2021), 107-112. https://doi.org/10.30714/j-ebr.2021267973