[의학신문·일간보사=이승덕 기자]Research results have shown that the PCA catheter procedure, known as painless injection, is effective in controlling pain after rotator cuff rupture repair.
Hallym University Kangnam Sacred Heart Hospital is a researcher on pain control after rotator cuff rupture repair by Professor Gyu-cheol Noh’s team of orthopedics (Professor Noh Gyu-cheol and first author Prof. Jeong-yeon Kim). It was announced on the 7th that it was published in the January issue.
The research team observed 93 patients who underwent arthroscopic rotator cuff repair at Hallym University Gangnam Sacred Heart Hospital from May 2012 to January 2019.
In general, to control pain after surgery, the upper scapular nerve (the nerve connected to the shoulder muscle at the scapula region at the back of the shoulder) is blocked. It was confirmed that it is effective in control. It was also confirmed that the risk of complications was low when the procedure was performed on the peripheral nerves rather than the central nerves.
Furthermore, for effective pain control, the research team proposed an autologous pain injection solution catheter insertion (PCA catheter) procedure that additionally administers a pain control agent after ruptured rotator cuff suture and suprascapular nerve block surgery. PCA catheter is also called painless injection.
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| Hallym University Hospital Professor Gyu-cheol Noh (left) and Professor Jeong-Yeon Kim |
Autologous pain injection solution catheterization is not only more effective in pain control than conventional oral, venous pain control agents or brachial plexus nerve block, but also controls rebound pain that recurs after pain control and shortens the total hospitalization period. There are several advantages such as rehabilitation and high patient satisfaction after surgery.
Prof. Gyu-cheol Noh said, “Pain control after rotator cuff rupture repair is just as important as surgery, but the new procedure presented this time showed excellence in the success rate, stability, and effectiveness of the procedure.” It decreased,” he said.
This study is a paper titled’Efficacy of direct arthroscopy-guided suprascapular nerve block after arthroscopic rotator cuff repair: A prospective randomized study’, 2019. He was awarded the Best Thesis Award at the 27th Spring Conference of the Korean Shoulder and Elbow Medicine Society.