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Pechetov A.A.

Vishnevsky Research Center for Surgery

Lednev A.N.

Vishnevsky National Medical Research Center of Surgery

Makov M.A.

A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of Russia

Chlan T.N.

A.V. Vishnevsky National Medical Research Center of Surgery

Intercostal nerve cryoablation in correction of pectus excavatum in adults

Authors:

Pechetov A.A., Lednev A.N., Makov M.A., Chlan T.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(5): 14‑19

DOI: 10.17116/hirurgia202105114

Views: 2043

Downloaded: 57

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Table of contents

To cite this article:

Pechetov AA, Lednev AN, Makov MA, Chlan TN. Intercostal nerve cryoablation in correction of pectus excavatum in adults. Pirogov Russian Journal of Surgery. 2021;(5):14‑19. (In Russ.)
https://doi.org/10.17116/hirurgia202105114

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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OBJECTIVE

To evaluate an effectiveness of cryoanalgesia in older patients with pectus excavatum and to determine feasibility of further research.

MATERIAL AND METHODS

We have developed an original technique of intercostal nerve cryoablation for correction of pectus excavatum in adults. The results of intercostal nerve cryoablation during correction of pectus excavatum in 10 older patients were analyzed.

RESULTS

Postoperative outcomes were followed-up over a period of 4 — 12 months. There were no perioperative surgical complications. In 1 case, moderate pain syndrome persisted for 3 months after surgery (mean VAS score 2±1.3). In 9 months, mean VAS score was 0.6±0.6 in a month after surgery.

CONCLUSION

Intercostal nerve cryoablation in correction of pectus excavatum in adults may be an alternative to the current methods of regional analgesia. Further research is requried to achieve objective information.

Keywords:

pectus excavatum
Nuss procedure
cryoanalgesia
intercostal nerve cryoablation

Authors:

Pechetov A.A.

Vishnevsky Research Center for Surgery

Lednev A.N.

Vishnevsky National Medical Research Center of Surgery

Makov M.A.

A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of Russia

Chlan T.N.

A.V. Vishnevsky National Medical Research Center of Surgery

Received:

25.11.2020

Accepted:

15.12.2020

List of references:

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