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 pain management, approach to post-operativerib flaring, new techniques to repairing the deformity, and dynamic compression devicetreatment plan.
Intended audience: Healthcare professionals and clinicians.
Here's the first question. What are your, uh, as the surgeon criteria for repair, uh, if the child has symptoms irregardless of the severity, uh, will you, uh, uh, repair the excavatum? Uh, if they have symptoms plus a Haller index of at least 3.0, is that, uh, good enough? How about symptoms, but a Haller index of 4, do they have to have a Haller index more than 3? Uh, or a Haller index of greater than 4 with or without symptoms. So I thought I'd, uh, I would just throw those out and see if anybody has any thoughts about them. We're putting that pole up, uh, while we're doing it, um, any comments? Yeah, so, so what, um, if you could just classify the symptoms a little bit, is it they look bad, they feel bad, it's cosmetic, they don't want to go swimming with their friends? Are they short of breath, they feel they can't run as far as they usually do.
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