Donna G Posted April 24, 2007 Share Posted April 24, 2007 Today I was thinking that every women I have ever met who has had a thorocotomy does not enjoy wearing the "appliance". I really believe if any one has the talent to invent a bra that does not sqeeze a women around the chest right on the post op scar she could make a million or at least a lot on money! I have done a search on Google and find one million and one hits about post op bras but all for post op Mastectomies except one site they mentioned thorocotomy. It was a site for ostomy nurses so----I sent the site address to my friend Mary who is an ostomy nurse hoping that she can get on that site and find info. Would be really happy for info if any of you have found a site or place that handles comfort for us bras. Thanks Problem defined: Post-Thoracotomy Pain Syndrome Post-thoracotomy pain syndrome usually results from surgical trauma or fibrosis of the intercostal nerves. Thoracotomy is one the more painful procedures that a patient can undergo, and is one that is more commonly associated with long term pain. The pain is typically a neuropathic pain, usually in the distribution of the affected intercostal nerve. An important point, however, with the development of pain after a thoracotomy that has been performed for oncologic reasons, is that tumor recurrence must be ruled out. Management of the pain is similar to other neuropathic pain states, with the use of tricyclic antidepressants and anticonvulsants. The intercostal nerves are fairly accessible, and long term pain control can be achieved with repetitive local anesthetic and steroid blocks. For cancer patients with limited life expectancy, i.e., tumor found to be unresectable at the time of thoracotomy, implantation of an epidural portacath for home epidural infusion can be of undeniable benefit. Donna G Quote Link to comment Share on other sites More sharing options...
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