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Pain management after pediatric minimally invasive repair of pectus excavatum: a narrative review.
Transl Pediatr
December 2024
Department of Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Background And Objective: Pectus excavatum is a common congenital chest wall abnormality characterized by a concave appearance of the chest, and minimally invasive repair of pectus excavatum (MIRPE) is the surgical treatment of choice. A rapidly growing field of research is pain management in children undergoing MIRPE, with many shifts in practice occurring over the last decade. The primary objectives of this narrative review are to describe current methods of perioperative pain management and the development of enhanced recovery after surgery (ERAS) to improve the experience of patients undergoing MIRPE.
View Article and Find Full Text PDFA Vacuum Bell Therapy for Infantile Pectus Deformity: Early Intervention Should You Do?
Indian J Pediatr
January 2025
Center for Rib Cage Disorders, ICAD, Department of Cardiothoracic Surgery, SRM Institutes for Medical Science, Vadapalani, Chennai, 600026, India.
Quality of life assessment after minimally invasive operative treatment in children with pectus excavatum: A single-center study and literature review.
Adv Clin Exp Med
January 2025
Department of Pediatric Surgery, Antoni Jurasz University Hospital No. 1, Faculty of Medicine, Ludwik Rydygier Medical College in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.
Background: Most patients with chest wall deformities have a negative body image, which affects their self-esteem and quality of life (QoL).
Objectives: The aim of this study was to evaluate changes in patients' QoL after minimally invasive repair of pectus excavatum (MIRPE).
Material And Methods: A prospective, single-center study was conducted between 2019 and 2023.
Introduction: Pain control following Nuss thoracoplasty remains a challenge. Cryoanalgesia of the intercostal nerves has been demonstrated to reduce postoperative pain in these patients. The objective of this study was to understand how and how widely cryoanalgesia is used in pediatric patients undergoing funnel chest surgery in Spain.
View Article and Find Full Text PDFEvaluation of the risk factors for postoperative pectus excavatum and scoliosis in cystic lung disease.
Pediatr Surg Int
January 2025
Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa, Nagoya, Aichi, 466-8550, Japan.
Purpose: To analyze the frequency and predictive factors of the development of postoperative pectus excavatum and scoliosis in children who underwent surgery for cystic lung disease.
Methods: This study examined patients who underwent surgery for cystic lung disease (open and thoracoscopic) between July 2000 and December 2018 with a > 3-year follow-up period. Lesion size, surgical outcomes, and subsequent musculoskeletal complications were compared between the open surgery and thoracoscopic surgery groups.
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