World Journal of Endocrine Surgery

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VOLUME 14 , ISSUE 1 ( January-April, 2022 ) > List of Articles

Original Article

Study for the Incidence of Postsurgical Neuropathic Pain Following Bilateral Axillo-breast Approach of Endoscopic Thyroidectomy: A Pilot Observational, Prospective Study

Sanjay Kumar, Sandeep Khuba, Gyan Chand, Pratibha Singh, Sujeet Gautam, Anil Agarwal, Prabhakar Mishra

Keywords : BABA endoscopic thyroidectomy, Incidence, Neuropathic pain, NRS, Observational study

Citation Information : Kumar S, Khuba S, Chand G, Singh P, Gautam S, Agarwal A, Mishra P. Study for the Incidence of Postsurgical Neuropathic Pain Following Bilateral Axillo-breast Approach of Endoscopic Thyroidectomy: A Pilot Observational, Prospective Study. World J Endoc Surg 2022; 14 (1):1-6.

DOI: 10.5005/jp-journals-10002-1420

License: CC BY-NC 4.0

Published Online: 16-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: To determine the incidence of postsurgical neuropathic pain following the bilateral axillo-breast approach (BABA) approach of endoscopic thyroidectomy, a minimally invasive approach for thyroid surgeries. Materials and methods: Fifteen patients undergoing BABA endoscopic thyroidectomy were followed at 15 days, 1 month, and 3 months of surgery. Incidence, character, and severity of neuropathic pain following surgery were assessed. The area of distribution of the pain was also noted. Results: The incidences of neuropathic pain following BABA endoscopic thyroidectomy were 73.3%, 40%, and 20%, respectively after 15 days, 30 days, and 3 months of surgery. The median (range) NRS pain scores were 4 (3, 5), 2 (2, 3), and 1 (0, 2) on day 15, day 30, and 3 months, respectively. The distribution of pain was mainly in the anterior aspect of the neck (66.67%) and the upper part of the chest (66.67%). The commonest neuropathic pain features were pin pricking, brush allodynia, tingling, and numbness in the involved area. Conclusion: Despite the enormous technical and surgical benefits of the BABA approach for endoscopic thyroidectomy, the high incidence of both acute and chronic neuropathic pain following surgery needs consideration. Clinical significance: To draw attention to the alarming complication of neuropathic pain after BABA endoscopic thyroidectomy, which should be addressed to decrease patient morbidity.


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