Age-related change of postoperative pain location after Nuss procedure for pectus excavatum. 2010

Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University, Tokyo, Japan. nagasao@sc.itc.keio.ac.jp

OBJECTIVE The present study aims to evaluate age-related change of postoperative pain after the Nuss procedure by referring to clinical cases, and to elucidate the biomechanical aetiology of the change by using the finite element method. METHODS Twelve paediatric patients (paediatric group: 9.4+/-2.3 years old) and 13 adult patients (adult group: 26.3+/-5.5 years old) who received the Nuss procedure for pectus excavatum were included in the study. On the second postoperative day, the patients were asked to indicate regions on the thorax where they felt the greatest pain. The locations of these regions were compared between the two groups. In addition, stress-distribution patterns were examined using finite element models produced by simulating the thoraces of the patients. The stress-distribution patterns were compared between the two groups. RESULTS The patients of the paediatric group and adult group tend to have pain on the anterior and posterior regions of the thorax, respectively. The finite element study revealed that paediatric thoraces and adult thoraces develop intensified stresses in the anterior region and the posterior region, respectively. CONCLUSIONS Postoperative pain tends to occur in the anterior part of the thorax for paediatric patients and in the posterior part of the thorax for adult patients, reflecting the stress distributions of these two distinct patient populations.

UI MeSH Term Description Entries
D008297 Male Males
D010147 Pain Measurement Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies. Analgesia Tests,Analogue Pain Scale,Formalin Test,McGill Pain Questionnaire,Nociception Tests,Pain Assessment,Pain Intensity,Pain Severity,Tourniquet Pain Test,Visual Analogue Pain Scale,Analog Pain Scale,Assessment, Pain,McGill Pain Scale,Visual Analog Pain Scale,Analgesia Test,Analog Pain Scales,Analogue Pain Scales,Formalin Tests,Intensity, Pain,Measurement, Pain,Nociception Test,Pain Assessments,Pain Intensities,Pain Measurements,Pain Questionnaire, McGill,Pain Scale, Analog,Pain Scale, Analogue,Pain Scale, McGill,Pain Severities,Pain Test, Tourniquet,Questionnaire, McGill Pain,Scale, Analog Pain,Scale, Analogue Pain,Scale, McGill Pain,Severity, Pain,Test, Analgesia,Test, Formalin,Test, Nociception,Test, Tourniquet Pain,Tests, Nociception,Tourniquet Pain Tests
D010149 Pain, Postoperative Pain during the period after surgery. Acute Post-operative Pain,Acute Postoperative Pain,Chronic Post-operative Pain,Chronic Post-surgical Pain,Chronic Postoperative Pain,Chronic Postsurgical Pain,Pain, Post-operative,Persistent Postsurgical Pain,Post-operative Pain,Post-operative Pain, Acute,Post-operative Pain, Chronic,Post-surgical Pain,Postoperative Pain, Acute,Postoperative Pain, Chronic,Postsurgical Pain,Postoperative Pain,Acute Post operative Pain,Chronic Post operative Pain,Chronic Post surgical Pain,Chronic Postsurgical Pains,Pain, Acute Post-operative,Pain, Acute Postoperative,Pain, Chronic Post-operative,Pain, Chronic Post-surgical,Pain, Chronic Postoperative,Pain, Chronic Postsurgical,Pain, Persistent Postsurgical,Pain, Post operative,Pain, Post-surgical,Pain, Postsurgical,Post operative Pain,Post operative Pain, Acute,Post operative Pain, Chronic,Post surgical Pain,Post-operative Pains,Post-surgical Pain, Chronic,Postsurgical Pain, Chronic,Postsurgical Pain, Persistent
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D005660 Funnel Chest A developmental anomaly in which the lower sternum is posteriorly dislocated and concavely deformed, resulting in a funnel-shaped thorax. Pectus Excavatum,Chest, Funnel,Chests, Funnel,Excavatum, Pectus,Funnel Chests
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age

Related Publications

Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
January 2016, The Thoracic and cardiovascular surgeon,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
April 2019, Turk gogus kalp damar cerrahisi dergisi,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
January 2014, Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
August 2013, Interactive cardiovascular and thoracic surgery,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
March 2008, Nihon Geka Gakkai zasshi,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
July 2011, Pediatric surgery international,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
December 2001, AORN journal,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
January 2022, Pediatrics international : official journal of the Japan Pediatric Society,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
June 2010, Aesthetic plastic surgery,
Tomohisa Nagasao, and Junpei Miyamoto, and Kazuhiko Ichihara, and Hua Jiang, and Hongmei Jin, and Tamotsu Tamaki
March 2013, Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences,
Copied contents to your clipboard!