MUSCLE-SPARING VERSUS STANDARD POSTEROLATERAL THORACOTOMY IN NEONATES WITH ESOPHAGEAL ATRESIA.

Arq Bras Cir Dig 2018 2;31(2):e1365. Epub 2018 Jul 2.

Department of Neonatalogy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Khouzestan, Iran.

Background: The muscle-sparing thoracotomy (MST) has not yet been thoroughly studied and assessed in comparison to the traditional thoracotomy method in newborns.

Aim: To compare the outcomes of MST and standard posterolateral thoracotomy (PLT) in newborns.

Methods: Randomized, controlled, double-blind trial on 40 neonates with esophageal atresia, comparing the time of beginning a surgery until seeing the pleura, the duration of hospitalization in the neonatal intensive care unit, the time in ventilator, the time of returning the shoulder function, the time of returning the Moro reflex, and the mortality between the two techniques.

Results: The data showed no differences between the two groups in basic information (weight, height, gender, numbers of prematurity neonates and caesarean). The results on the size of the scar in the MST group was significantly lower than in the PLT group. Also, the time of returning the shoulder function in MST group was earlier than in PLT group. There were no significant differences in the duration since the beginning the surgery to see the pleura, the time of being hospitalized in intensive unit, the time that the infant required ventilator, returning time of the Moro reflex in 1st and 3rd months after the operation, and the mortality rates between MST and PLT groups.

Conclusion: It seems that the advantages of using MST over PLT procedure in neonates include the earlier shoulder function recovery and also superior cosmetic results.

Download full-text PDF

Source
http://dx.doi.org/10.1590/0102-672020180001e1365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044202PMC
February 2019

Similar Publications

Muscle sparing thoracotomy for esophageal cancer: a comparison with posterolateral thoracotomy.

Surg Today 2016 Jul 27;46(7):807-14. Epub 2015 Aug 27.

Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

Purpose: The aim of this study was to investigate whether muscle sparing thoracotomy (MST) improved postoperative chest pain and an impairment of the postoperative pulmonary function in comparison with posterolateral thoracotomy (PLT).

Methods: Twenty-four patients with esophageal cancer who underwent PLT from September 2006 to August 2008 and 30 patients who underwent MST from September 2008 to August 2010 were selected as subjects of this study. Postoperative acute and chronic chest pain and the recovery of the pulmonary function were retrospectively compared between the two groups. Read More

View Article and Full-Text PDF
July 2016

Muscle-sparing versus posterolateral thoracotomy: a prospective study.

Eur J Cardiothorac Surg 2007 Mar 22;31(3):496-9; discussion 499-500. Epub 2007 Jan 22.

1st Department of Thoracic Surgery, General Hospital for Chest Diseases, Athens, Greece.

Objective: Although the thoracotomy incision is guided in part by the exposure required, both cosmesis and the potential for improved recovery are important factors to be taken into account. We conducted a prospective randomized study in order to compare muscle sparing thoracotomy (MST) and standard posterolateral thoracotomy (PLT) for postoperative pain and physical function during and after hospitalization.

Material And Method: One hundred patients operated from June through December 2004 were recruited in this study. Read More

View Article and Full-Text PDF
March 2007

Muscle sparing versus posterolateral thoracotomy for pulmonary lobectomy: randomised controlled trial.

Interact Cardiovasc Thorac Surg 2010 Oct 19;11(4):415-9. Epub 2010 Jul 19.

Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Via Francesco Sforza, 35, 20122 Milan, Italy.

Muscle sparing thoracotomy (MST) has been proposed as an alternative to posterolateral thoracotomy (PLT) for pulmonary lobectomy. This issue has been addressed by few clinical reports. To explore that subject, a prospective, controlled randomised, double-blind trial comparing MST through the auscultatory triangle and PLT was planned. Read More

View Article and Full-Text PDF
October 2010

Does muscle-sparing thoracotomy as opposed to posterolateral thoracotomy result in better recovery?

Interact Cardiovasc Thorac Surg 2013 Jan 9;16(1):60-7. Epub 2012 Oct 9.

Department of Cardiothoracic Surgery, Suez Canal University Hospital, Ismailia, Egypt.

A best evidence topic was written according to a structured protocol. The question addressed was whether muscle-sparing thoracotomy (MST), as opposed to posterolateral thoracotomy (PLT), results in better recovery. A total of 108 papers were found using the reported searches of which eight represented the best evidence to answer the clinical question. Read More

View Article and Full-Text PDF
January 2013