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Pesquisa : A08.800.800.720.800 [Categoria DeCS]
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[PMID]:28985838
[Au] Autor:Zhang W; Wei Y; Jiang H; Xu J; Yu D
[Ad] Endereço:Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
[Ti] Título:T3 versus T4 thoracoscopic sympathectomy for palmar hyperhidrosis: a meta-analysis and systematic review.
[So] Source:J Surg Res;218:124-131, 2017 Oct.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Palmar hyperhidrosis (PH) is a benign sympathetic disorder that can adversely affect the quality of life of patients. Thoracic sympathectomy (TS) at the T3 or T4 level has been used to treat PH. We aimed to determine the optimal denervation level for TS by comparing the efficacy of T3 TS versus T4 TS in PH patients. METHODS: We searched the PubMed, Ovid MEDLINE, EMBASE, Web of Science, ScienceDirect, the Cochrane Library, Scopus, and Google Scholar databases for studies comparing T3 versus T4 TS for PH. Clinical end points included symptom resolution, patient satisfaction, and complications. RESULTS: Of 2201 articles reviewed, 10 (T3 group, 566 patients; T4 group, 629 patients) were selected. T4 TS was associated with a lower incidence of postoperative compensatory sweating, dry hands, and gustatory sweating than T3 TS. No significant difference in symptom resolution or patient satisfaction was found between the T3 and T4 groups. CONCLUSIONS: T4 TS may be superior to T3 TS in patients with PH. However, this finding should be validated in high-quality, large-scale randomized controlled trials.
[Mh] Termos MeSH primário: Hiperidrose/cirurgia
Simpatectomia/métodos
Nervos Torácicos/cirurgia
Toracoscopia
[Mh] Termos MeSH secundário: Mãos
Seres Humanos
Modelos Estatísticos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE


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[PMID]:28716694
[Au] Autor:Maldonado AA; Zuckerman SL; Howe BM; Mauermann ML; Spinner RJ
[Ad] Endereço:Department of Neurologic Surgery, Mayo Clinic, 200 1st Street South West, Rochester, MN, USA; Department of Plastic, Hand and Reconstructive Surgery, BG Unfallklinik Frankfurt, Friedberger Landstraße 430, Frankfurt, Germany.
[Ti] Título:"Isolated long thoracic nerve palsy": More than meets the eye.
[So] Source:J Plast Reconstr Aesthet Surg;70(9):1272-1279, 2017 Sep.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Two main hypotheses have been proposed for the pathophysiology of long thoracic nerve (LTN) palsy: nerve compression and nerve inflammation. We hypothesized that critical reinterpretation of electrodiagnostic (EDX) studies and MRIs of patients with a diagnosis of non-traumatic isolated LTN palsy could provide insight into the pathophysiology and, potentially, the treatment. MATERIAL AND METHODS: A retrospective review was performed of all patients with a diagnosis of non-traumatic isolated LTN palsy and an EDX and brachial plexus or shoulder MRI studies performed at our institution. The original EDX studies and MR examinations were reinterpreted by a neuromuscular neurologist and musculoskeletal radiologist, respectively, both blinded to our hypothesis. RESULTS: Seven patients met the inclusion criteria as having a non-traumatic isolated LTN palsy. Upon reinterpretation, all of them were found to have findings not consistent with an isolated LTN. On physical examination, three of them (43%) presented with weakness in muscles not innervated by the LTN. Four of them (57%) had additional EDX abnormalities beyond the distribution of the LTN. Five of them (71%) had MRI evidence of enlargement of nerves or denervation atrophy of muscles outside the innervation of the LNT, without evidence of compression of the LTN in the middle scalene muscle. CONCLUSION: In our series, all 7 patients, originally diagnosed as having an isolated LTN, on reinterpretation, were found to have a more diffuse muscle/nerve involvement pattern, without MR findings to suggest nerve compression. These data strongly support an inflammatory pathophysiology.
[Mh] Termos MeSH primário: Doenças do Sistema Nervoso Periférico/diagnóstico
Doenças do Sistema Nervoso Periférico/fisiopatologia
Nervos Torácicos
[Mh] Termos MeSH secundário: Adulto
Idoso
Eletromiografia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Paralisia/diagnóstico
Paralisia/fisiopatologia
Exame Físico
Estudos Retrospectivos
Nervos Torácicos/diagnóstico por imagem
Nervos Torácicos/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE


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[PMID]:28282661
[Au] Autor:Dobosz L; Cwalina N; Stefaniak T
[Ad] Endereço:Department of General, Endocrine and Transplant Surgery, Gdanski Uniwersytet Medyczny, Ringgold Standard Institution, Gdansk, Poland.
[Ti] Título:Influence of Body Mass Index on Compensatory Sweating in Patients after Thoracic Sympathectomy due to Palmar Hyperhidrosis.
[So] Source:Thorac Cardiovasc Surg;65(6):497-502, 2017 Sep.
[Is] ISSN:1439-1902
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Thoracic sympathectomy (TS) is one of the most effective methods of treatment of primary hyperhidrosis. One of the side effects of this procedure is compensatory sweating (CS). The aim of our study was to evaluate the influence of body mass index (BMI) on CS in patients after TS due to palmar hyperhidrosis. Data from 157 patients with palmar hyperhidrosis who underwent TS were collected. The patients were subsequently divided in two groups according to their initial BMI: group A, BMI < 25 kg/m , and group B, BMI ≥ 25 kg/m . Objective (gravimetry) and subjective (VAS) measurements of the intensity of hyperhidrosis were taken from the patients' bodies prior to surgery, as well as 3 and 12 months after TS. Average palmar hyperhidrosis levels before the surgery did not differ significantly between the two groups (238.65 vs. 190.15; = 0.053). A statistically significant decrease in palmar hyperhidrosis was noted in both groups, both 3 and 12 months after surgery (238.65 vs. 11.86 vs. 13.5; < 0.05, and 190.15 vs. 16.67 vs. 11.81; < 0.05, respectively). The intensity of sweating over the abdomino-lumbar area differed significantly between the groups before the surgery, both in subjective (1.71 vs. 3.61; < 0.05) and objective (13.57 vs. 35.95; < 0.05) evaluations. Three months after surgical intervention, an intensification of CS was observed in both the groups; however, no statistically significant differences were observed between the two sets of patients (VAS: 4.58 vs. 5.16; = 0.38; gravimetry: 33.87 vs. 53.89; = 0.12). Twelve months after TS, CS was higher in the group with an initial BMI ≥ 25 kg/m , both in subjective and objective evaluations (3.23 vs. 4.94; = 0.03 and 18.08 vs. 80.21; = 0.026, respectively). Patients with a BMI ≥ 25 kg/m experience more severe CS after TS, both in subjective and objective evaluations.
[Mh] Termos MeSH primário: Índice de Massa Corporal
Hiperidrose/cirurgia
Obesidade/complicações
Complicações Pós-Operatórias/etiologia
Glândulas Sudoríparas/inervação
Sudorese
Simpatectomia/efeitos adversos
Nervos Torácicos/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Rubor
Mãos
Seres Humanos
Hiperidrose/diagnóstico
Hiperidrose/fisiopatologia
Masculino
Obesidade/diagnóstico
Complicações Pós-Operatórias/fisiopatologia
Fatores de Risco
Índice de Gravidade de Doença
Simpatectomia/métodos
Nervos Torácicos/fisiopatologia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1055/s-0037-1599797


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[PMID]:28235492
[Au] Autor:Yenidünya O; Bircan HY; Altun D; Caymaz I; Demirag A; Turkoz A
[Ad] Endereço:Department of Anesthesiology, Baskent University Istanbul Training and Medical Research Center, Istanbul, Turkey. Electronic address: drozlem79@gmail.com.
[Ti] Título:Anesthesia management with ultrasound-guided thoracic paravertebral block for donor nephrectomy: A prospective randomized study.
[So] Source:J Clin Anesth;37:1-6, 2017 Feb.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY OBJECTIVE: To determine the efficacy of ultrasound-guided thoracic paravertebral block intraoperatively and 24 hours postoperatively in patients undergoing donor nephrectomy. DESIGN: Prospective randomized controlled study. SETTING: Private foundation university hospital; November 2014 to June 2015. PATIENTS: Thirty-two patients undergoing donor nephrectomy (exclusion criteria: coagulation disorders, allergy to local anesthetics, and unwillingness to participate). The final study population comprised 30 patients (15 male, 15 female) randomly assigned to either Group P (paravertebral block, n=14) or Group M (morphine, n=16). INTERVENTIONS: In Group P, a unilateral paravertebral catheter was inserted 1 day preoperatively; on the day of surgery, a single-level unilateral paravertebral block was administered through the catheter before general anesthesia. Infusion of bupivacaine continued intraoperatively and postoperatively. Patients in Group M received only general anesthesia, and morphine patient-controlled analgesia was begun postoperatively. MEASUREMENTS: Intraoperative analgesic and anesthetic requirement, postoperative numerical rating scale pain scores, additional analgesic consumption during the postoperative period, and incidence of complications related to thoracic paravertebral block (TPVB) like pleural puncture, pneumothorax, epidural spread, injection into the subarachnoid space, intravascular injection, and Horner's syndrome and rate of opioid related adverse reactions like nausea and vomiting, itching, constipation, and respiratory depression. RESULTS: Intraoperative remifentanil consumption was significantly higher in Group M, and postoperative morphine consumption was significantly lower in Group P (P<.001). During the first 24 hours postoperatively, the mean numerical rating scale pain scores were similar and there were no significant differences between the 2 groups. There were no statistically significant differences in the additional analgesic consumption and rate of adverse reactions between the 2 groups. We didn't detect any complication related to TPVB in group P. CONCLUSIONS: Continuous thoracic paravertebral block provides good intraoperative stability with a low anesthetic requirement and reduces postoperative morphine consumption for up to 24 hours. Ultrasound guided technique enhanced the safety of TPVB and provides analgesia without major complications.
[Mh] Termos MeSH primário: Analgesia Controlada pelo Paciente/métodos
Analgésicos Opioides/administração & dosagem
Anestésicos Locais/administração & dosagem
Cuidados Intraoperatórios/métodos
Nefrectomia/efeitos adversos
Bloqueio Nervoso/métodos
Manejo da Dor/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Pontos de Referência Anatômicos
Anestesia Geral
Bupivacaína/administração & dosagem
Feminino
Seres Humanos
Doadores Vivos
Masculino
Meia-Idade
Morfina/administração & dosagem
Bloqueio Nervoso/efeitos adversos
Medição da Dor
Dor Pós-Operatória/tratamento farmacológico
Piperidinas/administração & dosagem
Estudos Prospectivos
Nervos Torácicos/efeitos dos fármacos
Vértebras Torácicas
Coleta de Tecidos e Órgãos/efeitos adversos
Resultado do Tratamento
Ultrassonografia de Intervenção
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Analgesics, Opioid); 0 (Anesthetics, Local); 0 (Piperidines); 76I7G6D29C (Morphine); P10582JYYK (remifentanil); Y8335394RO (Bupivacaine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170226
[St] Status:MEDLINE


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[PMID]:28118214
[Au] Autor:Patel SY; Evans RM; Garcia Getting RE; Suz P
[Ad] Endereço:From the Department of Anesthesiology, H. Lee Moffitt Cancer Center, Tampa, Florida.
[Ti] Título:Pectoral Nerve and Transverse Abdominis Plane Block in a Patient Undergoing Mastectomy With Transverse Rectus Abdominis Muscle Flap: A Case Report.
[So] Source:A A Case Rep;8(8):210-212, 2017 Apr 15.
[Is] ISSN:2325-7237
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Postoperative nausea, vomiting, and pain present considerable concerns after reconstructive breast surgery. We present a case report of a 65-year-old woman with a history of severe postoperative nausea and vomiting, presenting for unilateral mastectomy with transverse rectus abdominis muscle flap. We performed unilateral pectoral nerve block and transverse abdominis plane block, which provided 24 hours of pain control and mitigated nausea and vomiting during the postoperative period.
[Mh] Termos MeSH primário: Mamoplastia/métodos
Mastectomia/métodos
Bloqueio Nervoso/métodos
Dor Pós-Operatória/prevenção & controle
Reto do Abdome/transplante
[Mh] Termos MeSH secundário: Idoso
Anestésicos Locais/administração & dosagem
Feminino
Seres Humanos
Náusea e Vômito Pós-Operatório/prevenção & controle
Retalhos Cirúrgicos
Nervos Torácicos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anesthetics, Local)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1213/XAA.0000000000000468


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[PMID]:28083907
[Au] Autor:Yokota K; Matsumoto T; Murakami Y; Akiyama M
[Ad] Endereço:Department of Dermatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
[Ti] Título:Pectoral nerve blocks are useful for axillary sentinel lymph node biopsy in malignant tumors on the upper extremities.
[So] Source:Int J Dermatol;56(3):e64-e65, 2017 Mar.
[Is] ISSN:1365-4632
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Mãos
Bloqueio Nervoso/métodos
Dor/prevenção & controle
Biópsia de Linfonodo Sentinela/métodos
Neoplasias Cutâneas/patologia
Nervos Torácicos
[Mh] Termos MeSH secundário: Idoso
Amidas
Anestésicos Locais
Axila
Feminino
Seres Humanos
Masculino
Meia-Idade
Dor/etiologia
Medição da Dor
Biópsia de Linfonodo Sentinela/efeitos adversos
Neoplasias Cutâneas/cirurgia
[Pt] Tipo de publicação:LETTER
[Nm] Nome de substância:
0 (Amides); 0 (Anesthetics, Local); 7IO5LYA57N (ropivacaine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170114
[St] Status:MEDLINE
[do] DOI:10.1111/ijd.13520


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[PMID]:28027224
[Au] Autor:Salviz EA; Sivrikoz N; Ozonur A; Orhan-Sungur M; Savran-Karadeniz M; Altun D; Hocaoglu E; Celet-Ozden B; Tugrul KM
[Ad] Endereço:Istanbul, Turkey From the Departments of Anesthesiology and Plastic and Reconstructive Surgery, Istanbul University, Istanbul Faculty of Medicine.
[Ti] Título:Ultrasound-Guided Bilateral Thoracic Paravertebral Blocks as an Adjunct to General Anesthesia in Patients Undergoing Reduction Mammaplasty: A Historical Cohort Study.
[So] Source:Plast Reconstr Surg;139(1):20e-28e, 2017 Jan.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study investigates whether ultrasound-guided thoracic paravertebral blocks would improve postoperative analgesia in patients undergoing bilateral reduction mammaplasty. METHODS: After obtaining ethics committee approval, data of 70 patients who underwent bilateral reduction mammaplasty were reviewed. Sixty-four patients' data were evaluable; 30 were in the general anesthesia group and 34 were in the thoracic paravertebral block group. Data such as time to first pain, intraoperative fentanyl requirement, postoperative numeric rating scale scores, number of patients who required tramadol in the postoperative care unit, and rescue analgesic consumption through the first 2 postoperative days were analyzed. RESULTS: Time to first pain was 311 minutes (range, 0 to 1605 minutes) and 20 minutes (range, 0 to 120 minutes) in the thoracic paravertebral block and general anesthesia groups, respectively (p < 0.001). Fentanyl requirement was 52.94 ± 11.94 µg and 115 ± 29.79 µg in the thoracic paravertebral block and general anesthesia groups, respectively (p < 0.001). Numeric rating scale scores were lower in the thoracic paravertebral block group through the first 2 postoperative hours (p < 0.001), and only two of 34 patients required tramadol in the postoperative care unit (p < 0.001). On postoperative day 1, both metamizole sodium (p < 0.001) and paracetamol (p = 0.018), and on day 2, only metamizole sodium (p < 0.001) consumption was lower in the thoracic paravertebral block group. CONCLUSION: Adding ultrasound-guided thoracic paravertebral blocks to general anesthesia postponed time to first pain and reduced analgesic consumption in patients undergoing bilateral reduction mammaplasty. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
[Mh] Termos MeSH primário: Anestesia Geral
Mamoplastia
Bloqueio Nervoso/métodos
Dor Pós-Operatória/prevenção & controle
Ultrassonografia de Intervenção
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Analgésicos Opioides/uso terapêutico
Feminino
Seguimentos
Seres Humanos
Meia-Idade
Medição da Dor
Dor Pós-Operatória/diagnóstico
Dor Pós-Operatória/tratamento farmacológico
Método Simples-Cego
Nervos Torácicos
Tramadol/uso terapêutico
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Analgesics, Opioid); 39J1LGJ30J (Tramadol)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000002842


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[PMID]:27894764
[Au] Autor:Laje P; Rhodes K; Magee L; Klarich MK
[Ad] Endereço:Division of General, Thoracic and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA. Electronic address: laje@email.chop.edu.
[Ti] Título:Thoracoscopic bilateral T3 sympathectomy for primary focal hyperhidrosis in children.
[So] Source:J Pediatr Surg;52(2):313-316, 2017 Feb.
[Is] ISSN:1531-5037
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM OF THE STUDY: Present our experience in the surgical treatment of primary focal hyperhidrosis of the hands by thoracoscopic bilateral T3 sympathectomy in pediatric patients. METHODS: Retrospective chart review of all patients operated between 2013 and 2015. RESULTS: We operated and included in the study 28 patients, 22 females and 6 males. Mean age was 14 (6-21) years. All patients had previously tried at least one form of medical therapy with no success. All patients were extensively counseled regarding the potential side effects of the sympathectomy. The operations were done in supine position with the arms extended. All patients were intubated with a double-lumen endotracheal tube for sequential lung isolation. We used a 5-mm port for the scope and a 3-mm port for the instruments, both placed in the axilla. The third rib was identified by fluoroscopy. The sympathectomy was done with monopolar cautery. Mean operative time was 43 (25-71) minutes. No chest tubes were used. The incidence of intraoperative or postoperative complications was zero. All patients were discharged within the first 24 postoperative hours. All patients achieved immediate complete postoperative resolution of the palmar hyperhidrosis, sustained in all cases at a median follow-up of 17 (2-34) months. The mean preoperative quality of life score (based on a multifunctional self-assessment questionnaire) was 41/100, whereas after the operation, it was 92/100. Only 1 patient developed temporary compensatory sweating. All patients were satisfied with the result of the operation. CONCLUSION: Thoracoscopic bilateral T3 sympathectomy is a safe and effective treatment for children and adolescents with primary focal hyperhidrosis of the hands who failed medical management and have a very low rate of compensatory sweating. LEVEL OF EVIDENCE: IV.
[Mh] Termos MeSH primário: Mãos
Hiperidrose/cirurgia
Simpatectomia/métodos
Nervos Torácicos/cirurgia
Toracoscopia
[Mh] Termos MeSH secundário: Adolescente
Axila/cirurgia
Criança
Feminino
Seguimentos
Seres Humanos
Masculino
Qualidade de Vida
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170202
[Lr] Data última revisão:
170202
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161130
[St] Status:MEDLINE


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[PMID]:27811494
[Au] Autor:Ladenhauf HN; Stundner O; Likar R; Schnöll J; Metzger RP
[Ad] Endereço:From the Departments of *Pediatric and Adolescent Surgery and †Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria; and ‡Department of Anesthesiology and Intensive Care Medicine, General Hospital Klagenfurt, Klagenfurt, Austria.
[Ti] Título:Successful Treatment of Persistent Pain After Pectus Excavatum Repair Using Paravertebral Nerve Radiofrequency Thermoablation.
[So] Source:A A Case Rep;8(1):18-20, 2017 Jan 01.
[Is] ISSN:2325-7237
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We present a case of a 25-year-old male patient suffering from severe prolonged pain after uneventful pectus excavatum repair that could be treated successfully by paravertebral nerve radiofrequency thermoablation. The patient was scheduled for a minimally invasive Nuss pectus excavatum repair. Surgical correction was performed under general anesthesia in combination with a thoracic peridural catheter. The immediate postoperative course was uneventful; however, the patient developed severe prolonged bilateral chest wall pain across segments T8 and T9. After failure of conservative treatment options, a specialized interventional anesthesiologist performed paravertebral nerve radiofrequency thermoablation of segment T9 bilaterally, after which the patient was pain free until scheduled removal of the pectus bar 3 years after placement.
[Mh] Termos MeSH primário: Técnicas de Ablação/métodos
Dor Crônica/prevenção & controle
Tórax em Funil/cirurgia
Dispositivos de Fixação Ortopédica/efeitos adversos
Dor Pós-Operatória/prevenção & controle
Nervos Torácicos
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Procedimentos Cirúrgicos Minimamente Invasivos
Bloqueio Nervoso/métodos
Medição da Dor
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170118
[Lr] Data última revisão:
170118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161105
[St] Status:MEDLINE
[do] DOI:10.1213/XAA.0000000000000411


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[PMID]:27472746
[Au] Autor:Maldonado AA; Spinner RJ
[Ad] Endereço:Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota.
[Ti] Título:Lateral pectoral nerve transfer for spinal accessory nerve injury.
[So] Source:J Neurosurg Spine;26(1):112-115, 2017 Jan.
[Is] ISSN:1547-5646
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Spinal accessory nerve (SAN) injury results in loss of motor function of the trapezius muscle and leads to severe shoulder problems. Primary end-to-end or graft repair is usually the standard treatment. The authors present 2 patients who presented late (8 and 10 months) after their SAN injuries, in whom a lateral pectoral nerve transfer to the SAN was performed successfully using a supraclavicular approach.
[Mh] Termos MeSH primário: Traumatismos do Nervo Acessório/cirurgia
Transferência de Nervo/métodos
Nervos Torácicos/transplante
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE
[do] DOI:10.3171/2016.5.SPINE151458



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