[New intraoperative therapeutic approach to control post-thoracotomy pain in patients who underwent main resection due to lung neoplasm]. / Nuovo approccio terapeutico intraoperatorio per il controllo del dolore post-toracotomia nei pazienti sottoposti a resezione maggiore per neoplasia polmonare.

AIM: The aim of this study was to determine the effectiveness of an incisional infusion of local anesthetics through a continuous-infusion elastomeric pump for the management of postoperative pain after thoracotomy. METHODS: A comparative analysis of 40 patients undergoing thoracotomies was carried out. Postoperative pain management with a continuous-infusion elastomeric pump providing local anesthetic into the incisional area was compared with traditional values. Data sources were reviewed for mean narcotic use, pain score, and complications. RESULTS: After thoracotomy procedures, 20 patients received the ON-Q Pain Relief System (I-Flow Corp, Lake Forest, CA, USA). Narcotic use and pain scores were significantly reduced in the ON-Q group. There were no wound healing complications or infections associated with the use of the pump. CONCLUSION: A continuous infusion of ropivacaine at 4 mL/h through the ON-Q elastomeric infusion pump is a safe and effective adjunct in postoperative pain management after thoracotomy. The use of the ON-Q Pain Relief System results in decreased narcotic use and lower pain scores.

Pulmonary and parotid hydatid cyst: an unusual double localization.

We described a rare case of pulmonary and parotid cyst for echinococcus granulosus in an eighty-one-year-old patient. Lesion was discovered in the lung owing to a clinical presentation. A swelling was the only sign in the parotid gland. Time between lung and parotid excision was 14 days. Time of hospitalizations was 4+/-1 day.