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Pectus excavatum repair - Recovery

Alternative Names

Funnel chest repair; Chest deformity repair; Sunken chest repair; Cobbler's chest repair; Nuss repair

After the Procedure:

It is common for children to stay in the hospital for 1 week. How long your child stays will probably depend on the level of discomfort after surgery.

Pain is common after the surgery. For the first few days, your child may receive strong pain medicine in the vein (through an IV) or through a catheter placed in the spine (an epidural). After that, pain is usually managed with medicines taken by mouth.

Your child may have tubes in the chest around the surgical cuts. These tubes drain extra fluid that builds up and help the lungs expand. The tubes will remain in place until they stop draining, usually after a few days.

The day after surgery, your child will be encouraged to sit up, take deep breaths, and get out of bed and walk. These activities will help healing.

At first, your child will not be able to bend, twist, or roll from side to side. Activities will slowly be increased.

When your child can walk without help, he or she is probably ready to go home. Before leaving the hospital, you will receive a prescription for pain medicine for your child.

Outlook (Prognosis):

Improvements in appearance are usually good. Improvements in breathing or ability to exercise varies from patient to patient.

  • Reviewed last on: 1/24/2011
  • Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Tzelepis GE, McCool FD. The lungs and chest wall disease. In: Mason RJ, Murray JF, Broaddus VC, Nadel JA. Murray & Nadel's Textbook of Respiratory Medicine. 4th ed. Philadelphia, Pa: Saunders Elsevier; 2005:chap 83.

Sugarbaker DJ, Lukanich JM. Chest wall and pleura. In: Townsend Jr. CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 57.

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