I had the exact pain you’re talking about- like a vise squeezing you around there or wearing a bra 4x too small. Your surgeon may use a robot to control the video camera and surgical tools. Healing after a lobectomy takes time. This video-assisted thoracic surgery (VATS) technique reduces a patient’s hospital stay to about three to four days and the patient experiences a more rapid recovery with less pain after VATS lobectomy surgery as compared with the traditional thoracotomy approach. At this point it's been about 16 months and I'm pretty close to where I was before, but definitely not at 100%. Results When compared with a traditional open operation (thoracotomy), video-assisted thoracoscopic surgery typically results in less pain, fewer complications and shortened recovery time. You'll typically go home sooner if you have VATS or robotic surgery. BackgroundComplications after thoracic surgery have well been established, pain being the most prominent. You will have some pain after your surgery. If you have open surgery, you may spend up to a week in the hospital. 1 The reported incidence ranges from 37% to 97 %,2, 3, 4 which reflects very different and mixed study populations in terms of surgical procedure (lung biopsy, segmentectomy, lobectomy, pneumonectomy, etc. Video-assisted thoracoscopic surgery (VATS) is a type of surgery for diagnosing and treating a variety of conditions involving the chest area (thorax). BACKGROUND: Video-assisted thoracic surgery (VATS) lobectomy may potentially reduce the risk of post-thoracotomy pain syndrome (PTPS). 6 months of pain and discomfort after pleurodesis isn't really surprising. That means it uses smaller cuts (incisions) than traditional open surgery. This is NOT where my incision is. Methods: A retrospective review of 498 patients (502 procedures) who under-went RATS (74), VATS (227), and open (201) anatomic pulmonary resection including lobectomy and segmentectomy from 2010 to 2014 was … Author information: (1)Departments of Anesthesia. It is a type of minimally invasive surgery. I was feeling discomfort for more than 10 months after my surgery. I tried taking over the counter pain medication but it didn’t help. The other type of pain is the chronic one, that has a longer onset after surgery and is long-lasting; approximately 9% to 80% of patients will develop chronic pain after thoracotomy and more or less from 5% to 33% after thoracoscopy. That makes it a less invasive procedure with a quicker recovery. There was an early scare when one early meta-analysis suggested recurrence rates following VATS could be higher than after open surgery . Pain, sleep and rest A VATs operation can be painful even after your chest drains have been removed and you are at home. Your hospital stay following video-assisted lobectomy is usually 3 to 4 days after surgery. However, in most reports, long-term follow-up regarding chronic pain after thoracoscopic surgery has not been assessed. A lobectomy—removal of a lobe in a lung—is major surgery usually offered as a treatment for non-small cell lung cancer (NSCLC). thoracoscopic surgery (VATS) or open lobectomy is poorly understood. For VATS during the first days a lower amount of medication is required. Bayman EO(1)(2), Parekh KR(3), Keech J(3), Larson N(1), Vander Weg M(4), Brennan TJ(1)(5). The pain experienced after thoracotomy represents one of the most severe of all surgical procedures. IPSILATERAL SHOULDER PAIN (ISP) is a common and distressing complaint after thoracic surgery. The vertical lines depict standard deviations of the CPT values by surgical procedure at each time point after surgery. It is kind of a ... 26 Replies. Regardless of procedure (VATS vs. open) pain control can be achieved with an adequate analgetic regime. First, surgical techniques usually have a tipping point in their process of popularisation,2 after which they become rapidly and widely adopted. Grateful for early detection and surgery. Hi folks, thanks for this website. It's right in the area where the drain tube was placed and where I had a lot of rib nerve pain shortly after the surgery. But it does slowly get better over time. Figure 11. VATS (video-assisted thoracoscopic surgery) uses smaller surgical cuts than traditional lung surgery. If your pain isn’t relieved, tell your doctor or nurse. (4)Department of Internal Medicine. Figure 12. However, it may still carry a risk of intraoperative nerve damage and thereby development of PTPS. We cannot say how long you will be in pain as each individual is different and we all feel pain in different ways. Intercostal nerves are mixed type nerves combining motor and sensory functions. Pain after thoracic surgery is severe. Air leaks from the lung that don't heal up quickly can keep you in the hospital a longer time and occasionally require additional treatment. My doctor gave me an rx for 3-300mg daily. Dear All, Hoping someone can explain why after two months I am still experiencing severe pain in back and under left breast. visual analogue score (VAS-score) is to asses the development of acute and chronic pain after VATS surgery. It’s important to control your pain so you can cough, breathe deeply, use your incentive spirometer, and get out of bed and walk. We would like to make several comments to reinforce the signifi cance of this study as a milestone for future trials. Cleveland Clinic is one of the few centers in the nation with significant experience in video-assisted lobectomy. For VATS, your surgeon will use a long, thin video camera and surgical tools during your surgery. I had a VATS surgery for a talc pleurodedis (failed) and a cardiac tampenod. Paravertebral block (PVB) was proven to provide effective analgesia in patients with VATS; however, there is no difference in pain relief between preoperative PVB and postoperative PVB. Additionally, information on the reintegration of the patients in the working process is lacking. Post-thoracotomy pain is felt in the back and chest region following surgery in the chest. I was prescribed Tylenol with codeine, and that also did not help. surgery (VATS) over open anterolateral thoracotomy in terms of postoperative pain and quality of life. There are still areas of my chest that are numb and bother me. In some cases the pain can last for quite a few months but it is rare for it to be long term. Two months after your surgery you would usually expect the pain to be getting better but how long someone has pain following a lobectomy varies. Your doctor and nurse will ask you about your pain often and give you medication as needed. 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