Abstract: |
Postthoracotomy pain syndrome (PTPS) is a chronic condition that affects a large percentage of operative patients. One of the most important prevention strategies is ensuring adequate analgesia in the immediate postoperative period. The mechanisms by which the condition develops are not clearly elucidated, but clear risk factors include preexisting pain conditions, age, sex, psychosocial factors, and genetic predisposition. Patients commonly present with complaints of burning, aching, allodynia, and tenderness along the incision site. The importance of a multimodal approach to immediate postoperative pain control cannot be overstated. Pharmacologic and regional anesthesia techniques can also be incorporated into the treatment of PTPS. Neuromodulating medications, nonsteroidal antiinflammatory drugs, opioids, and other pharmacologic medications are commonly used in the treatment of PTPS. Regional anesthesia techniques are also incorporated. PTPS is a complex and poorly understood condition that requires more investigation. © 2022 Elsevier Inc. All rights reserved. |