Pectus Excavatum
Also covered as: pectus carinatum · Marfan syndrome · scoliosis · mitral valve prolapse · chronic pain · Ehlers-Danlos syndrome · nickel allergy · pneumothorax
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Answers come only from this collection's statement ledger and cite the exact moment · not medical advice
Content of this collection
Diagnosis & Workup
5 items
Pectus - Preoperative Assessment - Radiology and Cardiac Evaluation
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Dr. Todd Ponsky introduces the chair of the event, Dr. Victor F. Garcia, founding director, trauma services. Dr. Garciaintroduces the event panel. Dr. Rebeccah L. Brown starts the even by presenting a case study of a thirteen year old male
video · 44:03 · Nov 2018
Pectus - Preoperative Assessment - Genetics
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Dr. Derek E, Neilson discusses thegenetic evaluation for a pectus excavatum. Dr. Neilson elaborates on the evaluationtechniques used which include primarily Marfan syndrome, the skeletal evaluation or physical findings, as well as thecardia
video · 9:54 · Nov 2018
Radiology: Pectus Innovations
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Dr. Rebeccah L. Brown presents a case study of pectus excavatum with worsening exercise intolerance. Dr. Eric J. Crotty discusses the use of MRI in radiologic evaluation. Dr. Michael D. Taylor discusses the importance of obtaining a cardiac
video · 38:47 · Jan 2019
Genetics: Pectus Innovations
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Dr. Derek E. Neilson discusses the genetic evaluation of pectus excavatum. Dr. Neilson discusses both Marfan syndrome and Ehlers-Danlos syndrome, as well as the work-up needed for diagnosis of both of these disorders.
video · 9:48 · Jan 2019
Pectus Arcuatum a Pectus Unlike any Other
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New article you should know about From JPS by Dr. Cecilia GIgena
"Pectus Arcuatum: A Pectus Unlike Any Other"
Authors: Sarah Abdellaoui, Aurélien Scalabre, Christian Piolat, Frédéric Lavrand, Amane-Allah Lachkar, Anne Lehn, Clémence
video · 0:51 · Jan 2024
Surgical Management
11 items
Pectus Deformities: Update Course 2015
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Dr. Whit Holcomb discusses pectus deformities. His presentation includes nickel allergy testing instances, how to prevent infection and avoid cardiac injurywith the nuss repair, pectus excavatum using a sub-xiphoid incision, post-operative
video · 34:58 · Nov 2018
Pectus Excavatum Pain Management at Cincinnati Children's Hospital
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Dr.Senthilkumar Sadhasivam, department of anesthesia, discusses pectus excavatum pain management. Dr. Sadhasivam covers topics on surgically placed subcutaneous intercostal catheters, epidural placement, epidural infection risks, aspects of
video · 54:09 · Nov 2018
Pectus Deformities: Update Course 2015
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Dr. Whit Holcomb discusses pectus deformities. His presentation includes nickel allergy testing, how to avoid cardiac injury with the nuss repair, pectus excavatum using a sub-xiphoid incision, post-operative pain management, approach to po
video · 34:40 · Jan 2019
Criteria for Pectus Repair: Update Course 2015
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Dr. Whit Holcomb discusses pectus deformities. His presentation includes nickel allergy testing instances, how to prevent infection and avoid cardiac injurywith the nuss repair, pectus excavatum using a sub-xiphoid incision, post-operative
video · 0:55 · Jan 2019
Pain Management: Pectus Innovations
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Dr. Senthilkumar Sadhasivam, Professor in the Department of Anesthesia, discusses pectus excavatum pain management. Dr. Sadhasivam covers topics on surgically-placed sub-cutaneous intercostal catheters, epidural placement, epidural infectio
video · 54:09 · Jan 2019
Minimally Invasive Repair of Pectus Carinatum
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video · 5:00 · Nov 2019
Minimally Invasive Repair of Pectus Carinatum
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video · 5:00 · Nov 2019
Pectus Excavatum Pathway
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Dr. Rebeccah L. Brown discusses the clinical care pathway for patients with pectus excavatum in place at Cincinnati Children's Chest Wall Center.
video · 5:09 · Dec 2019
Update Course Rewind: Cryoanalgesia in Pectus Cases 2024
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In this 2024 Update Course Rewind, pediatric surgeon Dr. John DiFiore shares new insights into the growing use of cryoanalgesia for pectus excavatum repairs. Classified as a “Blue Square” practice—indicating a promising newer technique—this
video · 7:34 · Apr 2025
Update Course Rewind: Part 1 Non-Pectus Uses of Cryoanalgesia 2024
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In this engaging session from the 12th Annual Update Course in Pediatric Surgery, Dr. Timothy Lautz explores the expanding role of cryoanalgesia in pediatric thoracotomy beyond pectus repair. As more institutions embrace this technique, Dr.
video · 4:25 · Jun 2025
Update Course Rewind: Part 2 Non-Pectus Uses of Cryoanalgesia 2024
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In this insightful recap from the 12th Annual Update Course in Pediatric Surgery, Dr. Thomas Inge of Lurie Children’s Hospital explores emerging uses of cryoanalgesia beyond pectus repair. The video delves into novel applications of cryothe
video · 4:23 · Jun 2025
Complications
2 items
Pectus - Surgical Approaches for Failed Repair
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Dr. Rebeccah L. Brown presents a case of a five year old male with Marfan's disease and pectus excavatum. Dr.Dawn Jaroszewski discusses pectus excavatum revision surgery after a previouslyfailed pectus repair. Dr. Jaroszewski covers topics
video · 44:25 · Nov 2018
Interesting Cases & Surgical Approaches: Pectus Innovations
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Dr. Rebeccah L. Brown presents a case of a five year old male with Marfan's disease and pectus excavatum.Dr. Dawn Jaroszewski discusses pectus excavatum revision surgery after a previously failed pectus repair. Dr. Jaroszewski covers topics
video · 44:14 · Jan 2019
Evidence & Research
27 items
Pectus - Physiologic Consequences and Research
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Dr. Dawn Jaroszewski, division of cardiothoracic surgery, discusses the physiological consequences and research in pectus patients. Dr. Jaroszewskipresents onimaging ofthe right ventricular outflow track, cardiac output 3D, cardiac dyssynch
video · 22:32 · Nov 2018
Physiology: Pectus Innovations
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Dr. Dawn Jaroszewski, division of cardiothoracic surgery, discusses the physiological consequences of pectus deformities. Dr. Jaroszewski presents on imaging of the right ventricular outflow track, cardiac output 3D, cardiac dyssynchrony, s
video · 21:01 · Jan 2019
Stay Current Journal Club: Episode 1 - Ventricular Dysfunction in CDH and...
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Introducing the Stay Current in Pediatric Surgery Journal club - run by residents across the country. In this episode, Vik Gupta and Joe L'Huillier talk about the role of ventricular dysfunction in the prognosis of congenital diaphragmatic
podcast · 16:50 · Feb 2021
APSA - Is same day discharge possible following the Nuss repair for pectus excavatum - R. Luke Rettig
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Listen to R. Luke Rettig gave his presentation of "Is same day discharge possible following the Nuss repair for pectus excavatum" at the first ever Best of the Best in Pediatric Surgery event.Todos sabemos que la cirugía de #Nuss para el #p
video · 7:57 · May 2022
BOB Ped Surg 2023 - Joshua Ramjist, CAPS - Presentation
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Watch Joshua Ramjist, MD, present his presentation on "Development of a five point enhanced recovery protocol for pectus excavatum surgery."
video · Feb 2023
BOB Ped Surg 2023 - Brittany Hegde, PAPS - Presentation
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Watch Brittany Hegde, MD, present her presentation on "Impact of cryoanalgesia use for pain control in minimally invasive pectus excavatum repair on hospital days and costs."
video · Feb 2023
Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum - JPS article
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"Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum: The Titanic index"
Bellía-Munzón et al, Journal of Pediatric Surgery
https://www.jpedsurg.org/article/S0022-3468(22)00783-7/fulltext
Video: El
video · 1:13 · May 2023
Novedoso indice para estimar la extensión cefalocaudal del hundimiento esternal en el pectus excavatum: El Índice Titanic
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Nuevo Articulo que tenes que Concer por Sofía Tachella
"Novedoso indice para estimar la extensión cefalocaudal del hundimiento esternal en el pectus excavatum: El Índice Titanic" Bellía Munzon et.al.
Artículo Completo: https://www.jpeds
video · May 2023
Journal of pediatric surgery Article Review: April 2023, IPEG issue
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We’re featuring Journal of Pediatric surgery articles to bring you some of the latest news!
This week we are discussing three articles from the April 2023 issue, the IPEG issue with editor Dr. Mark Wulkan and authors Drs. Luzia Toselli,
podcast · 13:22 · Jul 2023
Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure
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New article you should know by Dr. Alex Halpern
"Cost and outcomes of intercostal nerve cryoablation versus thoracic epidural following the Nuss procedure"
Authors: Perez Holguín RA, DeAngelo N, Sinha A, Shen C, Tsai AY
Full articl
video · 1:07 · Oct 2023
Cryoablation in 350 Nuss procedures
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Another article you should know by Dr. Cecilia Gigena
"Cryoablation in 350 Nuss Procedures: Evolution of Hospital Length of Stay and Opioid Use"
Authors: Krista Lai, David M. Notrica, Lisa E. McMahon, Paul Kang, Mark S. Molitor, J. Cr
video · 0:56 · Oct 2023
Crioablación en 350 procedimientos de Nuss: evolución de la duración de la estancia hospitalaria y el uso de opioides
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Otro artículo que debes conocer de la Dra. Cecilia Gigena
"Crioablación en 350 procedimientos de Nuss: evolución de la duración de la estancia hospitalaria y el uso de opioides"
Autores: Krista Lai, David M. Notrica, Lisa E. McMahon,
video · 0:59 · Oct 2023
Initial Outcomes Using Cryoablation in Surgical Management of Slipping Rib Syndrome
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Another article from the Journal of Pediatric Surgery by Dr. Cecilia Gigena
"Initial Outcomes Using Cryoablation in Surgical Management of Slipping Rib Syndrome"
Authors: Krista Lai, R Scott Eldredge, Melissa Nguyen, Benjamin E. Padilla,
video · 1:03 · Oct 2023
Resultados iniciales del uso de crioablación en el tratamiento quirúrgico del síndrome de costilla deslizante
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Otro artículo del Journal of Pediatric Surgery de la Dra. Cecilia Gigena
"Resultados iniciales del uso de crioablación en el tratamiento quirúrgico del síndrome de costilla deslizante"
Autores: Krista Lai, R Scott Eldredge, Melissa Nguyen
video · 0:57 · Oct 2023
Quick Literature Updates Episode 13
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We’re back with thirteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most int
video · 4:12 · Nov 2023
Impact of Cryoanalgesia Use During Minimally Invasive Pectus Excavatum Repair on Hospital Days and Total Hospital Costs Among Pediatric Patients
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New article you should know about from JPS by Dr. Cecilia Gigena
"Impact of Cryoanalgesia Use During Minimally Invasive Pectus Excavatum Repair on Hospital Days and Total Hospital Costs Among Pediatric Patients"
Authors: Brittany N. H
video · 0:59 · Jan 2024
Impacto de la Crioanalgesia durante la reparación del Pectus Excavatum en la estadia hospitalaria y los costos en la población pediátrica
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Otro artículo que tenes que conocer de JPS por la Dra. Cecilia Gigena
"Impacto de la Crioanalgesia durante la reparación del Pectus Excavatum en la estadia hospitalaria y los costos en la población pediátrica"
Autores: Brittany N. Heg
video · 0:52 · Jan 2024
Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue
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We’re featuring Journal of Pediatric surgery articles to bring you some of the latest news!
This week we are discussing 3 articles from July 2023, PAPS issue, with editor Dr. Mary Brindle and authors Drs Jamie Schnuck and Bill Chiu
Ho
podcast · 10:46 · Jan 2024
Journal of Pediatric Surgery Article Review: September 2023
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We’re featuring Journal of Pediatric surgery articles to bring you some of the latest news!
This week we are discussing 4 articles from September issue 2023, with editor Dr. Whit Holcomb and authors Drs. Sarah Abdellaoui and Charles Jaso
podcast · 13:31 · Mar 2024
Long-Term Sensory Function 3 years after Minimally Invasive Repair of Pectus Excavatum with Cryoablation
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New article you should know about by Kim Priban RN, selected by @jpedsurg
Made possible by @cincychildrens
"Long-Term Sensory Function 3 years after Minimally Invasive Repair of Pectus Excavatum with Cryoablation"
Authors: R Scot
video · 1:19 · Jun 2024
Journal of Pediatric Surgery Article Review: Q1 (Jan-Mar) 2024
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We are back with a new episode of the Journal of pediatric surgery series.
This time we have the first quarter of 2024.
With editors: Dr. Romeo Ignacio for January, APSA edition, Dr. Mark Davenport for February, BAPS, edition & Dr. P
podcast · 13:34 · Jun 2024
Pectus Bar Dislocation: Comparison Between Three Different Stabilization Techniques Adopted in a Single Centre
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Francesco Donati, Maria Stella Cipriani, Angela Pistorio, Vittorio Guerriero, Girolamo Mattioli, Michele Torre
Background: Bar dislocation has always been considered a fearsome complication of Minimally Invasive Repair of Pectus Excavatu
video · 1:02 · Sep 2024
Six Years of Quality Improvement in Pectus Excavatum Repair: Implementation of Intercostal Nerve Cryoablation and ERAS Protocols for Patients Undergoing Nuss Procedure
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Jordan M. Rook, Lisa K. Lee, Justin P. Wagner, Veronica F. Sullins, Steven L. Lee, Shant Shekherdimian, Daniel A. DeUgarte, Christine E. Dichter, Howard C. Jen
Background: The Nuss procedure for pectus excavatum is associated with p
video · 0:51 · Apr 2025
Vacuum Bell Therapy for Pectus Excavatum: Long-term Experience at a Single Center
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Shelby Aughtman, Charles Hehman, Letitia Janssen, Jamie Golden, Michael J. Goretsky, Robert J. Obermeyer
Aim: To evaluate factors associated with excellent correction in pectus excavatum patients undergoing vacuum bell therapy (VBT).
video · 0:58 · Apr 2025
Cardiopulmonary Impact of the Minimally Invasive Repair of Pectus Excavatum in Pediatric Patients: A Prospective Pilot Study
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R Scott Eldredge, Arash Sabati, Brielle Ochoa, Vijay Viswanath, Emily Khoury, Kristin Rassam, Daniel J Ostlie, Justin Lee, Lisa McMahon, David M Notrica, Benjamin E Padilla
Introduction: The physiologic benefits of the minimally invasiv
video · 0:55 · Apr 2025
Journal of Pediatric Surgery Article Review: 1st Quarter (Jan-Mar) 2025
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We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the first quarter of 2025, January, February and March issues. This time we're talking to editors Drs. Ro
podcast · 16:35 · May 2025
Quick Literature Updates Ep 24
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We’re back with 24th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video · 4:42 · Nov 2025
In-Depth Reviews
10 items
An Update on Chest Wall Anomalies and Their Treatment: Advanced Practice...
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At the Advanced Practice Providers Pediatric Surgery Update Course in 2014, many distinguished advanced practice providers from around the world address the current evidence based management of the common pediatric surgical conditions. The
video · 46:05 · Sep 2018
Chest Wall Deformities with Dr. Robert Kelly
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Dr. Robert Kelly discuses chest wall deformities with Dr. Todd Ponsky. Edited by Ian C Glenn, MD and Nicholas Bruns, MDPectus excavatumHistoryApproximately 2/3 of patients presenting with symptoms, which include dyspnea on exertion, easy fa
podcast · 46:50 · Dec 2020
Update Course Rewind 2021 - Updates in Pectus
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In this session from the 2021 Update Course, Dr. Steven Lee, MD presents updates in the perioperative care of patient with pectus excavatum including perioperative pain control, Nuss bar length measurements, right vs left approach, and much
video · 61:14 · May 2022
Update Course Rewind: Pectus Excavatum 2021
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Did you miss our 9th Annual Update Course last year?
Don't worry, we are summarizing our favorite sessions in this podcast!
In this Episode Drs. Steven Lee, Shawn St. Peter, Victor García, Steven Rothenberg, Whit Holcomb, & Justin Wagne
podcast · 11:56 · Aug 2022
Update Course Rewind: Pectus Excavatum 2021
Watch →
Did you miss our 9th Annual Update Course last year?
Don't worry, we are summarizing our favorite sessions in this podcast!
In this Episode Drs. Steven Lee, Shawn St. Peter, Victor García, Steven Rothenberg, Whit Holcomb, & Justin W
video · 11:56 · Sep 2022
Update Course Rewind: 2024 Top Ten Key Takeaways
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Join us for a highlight reel of the Top 10 Key Takeaways from the 12th Annual Update Course in Pediatric Surgery. This session covers the latest advances, practical tools, and emerging trends that are shaping the future of pediatric surgica
video · 18:01 · Jun 2025
Update Course Rewind: 2024 Top Ten Key Takeaways
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Update Course Rewind: 2024 Top Ten Key Takeaways | Podcast Episode on RSS.com Sign up free Features Resources Pricing Podcasts Sign up free Sign In Stay Current in Pediatric Surgery... Update Course Rewind: 2024 Top Te... Update Course Rewi
podcast · 18:01 · Jul 2026
Update Course Rewind: Pectus Excavatum 2021
Listen →
Did you miss our 9th Annual Update Course last year? Don
podcast · 11:55 · Jul 2026
Update Course Rewind: Pectus Excavatum 2021
Listen →
Did you miss our 9th Annual Update Course last year? Don
podcast · 11:55 · Jul 2026
Update Course Rewind: Pectus Excavatum 2021
Listen →
Did you miss our 9th Annual Update Course last year? Don't worry, we are summarizing our favorite sessions from years past. In this episode, Drs. Steven Lee, Shawn St. Peter, Victor García, Steven Rothenberg, Whit Holcomb, & Justin Wagner w
podcast · 11:55 · Jul 2026
Patient & Family Education
3 items
Pectus - Patient and Family Education
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Staci Loer-Fisher, intensive care unit nurse at Cincinnati children's hospital, presents on patient and family education. Staci Loer-Fisher describes the significance of having an integrative care team for pain management. The integrative c
video · 19:07 · Nov 2018
Patient Testimonial and Experience: Pectus Innovations
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Cole Goodridge, former patient of Dr. Garcia's underwent a pectus repair procedure at twenty-one years of age. He had previously had the Ravitch procedure at age three. Following this procedure he was experiencing persistent symptoms. Follo
video · 13:55 · Jan 2019
Pectus-Patient Testimonial and Experience
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Cole Goodridge, former patient of Dr. Garcia's underwent a pectus repair procedure at twenty one years of age. He had previously had the ravitch procedure at age three. Following this procedure he was experiencing persistent symptoms. Follo
video · 14:33 · Mar 2022
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Every statement below comes from the recorded discussions, with its speaker and moment.
Long-Term Sensory Function 3 years after Minimally Invasive Repair of Pectus Excavatum with Cryoablation
Repair of pectus excavatum using minimally invasive techniques with intercostal nerve cryoablation decreases patient length of stay and opioid use
clinicalKim Priven0:00 ↗
This was a single institution prospective cohort study of 47 patients under 21 years of age
clinicalKim Priven0:19 ↗
Patients presented for bar removal after a median of two bars were placed for 2.9 years
clinicalKim Priven0:19 ↗
The study assessed patients for chest wall hypoesthesia to cold, soft touch, and pinprick, as well as neuropathic pain
clinicalKim Priven0:35 ↗
46.8% of patients had identifiable chest wall hypoesthesia
clinicalKim Priven0:46 ↗
9.3% of patients had hypoesthesia to cold response
clinicalKim Priven0:46 ↗
7.7% of patients had hypoesthesia to soft touch
clinicalKim Priven0:46 ↗
11.8% of patients had hypoesthesia to pinprick
clinicalKim Priven0:46 ↗
Neuropathic pain symptoms were identified in 13% of patients
clinicalKim Priven0:58 ↗
None of the patients with neuropathic pain symptoms required treatment
clinicalKim Priven0:58 ↗
Pediatric patients who underwent minimally invasive repair with cryoablation will often develop some small areas of hypoesthesia
clinicalKim Priven1:04 ↗
Clinically significant neuropathic pain is rare after minimally invasive pectus excavatum repair with cryoablation
clinicalKim Priven1:04 ↗
Journal of Pediatric Surgery Article Review: Q1 (Jan-Mar) 2024
The study compared two cohorts defined by time frame before and after implementation of stopping antibiotics at discharge
clinicalScott Short or Katie Russell2:07 ↗
185 patients were in the home antibiotic group and 121 patients in the no home antibiotic group
clinicalCecilia Gigena2:45 ↗
There was no significant difference in deep organ space infection requiring intervention between groups
clinicalCecilia Gigena2:55 ↗
There was no difference in length of stay between antibiotic groups
clinicalCecilia Gigena3:03 ↗
Secondary outcomes including C. diff infections, superficial site infections, post-operative CT imaging, and readmission showed no difference
clinicalRomeo Ignacio3:06 ↗
The study was a 25 year experience describing 220 consecutive infants with esophageal atresia in Newcastle
clinicalMark Davenport4:44 ↗
13% of the 215 esophageal atresia patients had complex esophageal atresia
epidemiologicalEgodi5:13 ↗
25 patients with complex EA survived the repair: 14 were type A and 11 were type C
clinicalEgodi5:24 ↗
Type C esophageal atresia is the most common type and means esophageal atresia with a distal fistula
clinicalCecilia Gigena5:43 ↗
Type A means pure esophageal atresia with no fistula to the trachea
clinicalCecilia Gigena5:50 ↗
Of 25 survivors, 18 had delayed primary anastomosis and 7 had esophageal replacement
clinicalEgodi6:00 ↗
Two of the esophageal replacements were salvage procedures following failed traction
clinicalEgodi6:13 ↗
Only 4 patients with esophageal atresia were potentially treatable by traction
clinicalEgodi6:13 ↗
The esophagus has a great intrinsic blood supply and can be mobilized right down to the diaphragm and up to the thoracic inlet while staying alive
clinicalBruce Jeffrey6:28 ↗
Native esophagus was retained in 80% of cases where traction techniques had not been attempted
clinicalEgodi6:57 ↗
Median time to esophageal continuity was 77 days
clinicalEgodi7:02 ↗
Management of complex esophageal atresia without lengthening procedures can result in similar rates of native esophagus retention but with significantly less morbidity
clinicalEgodi7:12 ↗
The pectus study enrolled 47 patients with median bar dwell time of approximately 2.9 years
clinicalCecilia Gigena9:25 ↗