Reminder

• Explain chronic pain
• Cicatricial neuropathies
• Associated myofascial syndromes that modify the clinical symptoms of cicatricial neuropathies.

Description

Lung surgery can be performed:

• by open surgery (thoracotomy) with a wide incision allowing a passage between 2 ribs, the related neuropathic pain affects all or part of the territory of the dermatome of the scar. Patients often describe dysesthesia or even anesthesia of this dermatome in the anterior thoracic part:

Sometimes the pain corresponds to the underlying dermatome, in which case the path of the postoperative drain is often responsible.

• By thoracoscopy, the related neuropathic pain affects all or part of the territory of the dermatome of the trocar paths. Patients often describe dysesthesia or even anesthesia of this dermatome in the anterior thoracic part:

• Isolated thoracic drainage (pneumothorax, pleurisy, hemothorax) can also be performed. the related neuropathic pain affects all or part of the territory of the dermatome of the path of the drain:

Clinical case(s)

• Pain after thoracic surgery

Treatment

• Treatment of neuropathic pain