The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 1 , Pages 39-44.e2 , July 2010

Double-bar application decreases postoperative pain after the Nuss procedure

  • Tomohisa Nagaso, MD

      Affiliations

    • Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University, Tokyo, Japan
    • Corresponding Author InformationAddress for reprints: Tomohisa Nagasao, MD, Department of Plastic and Reconstructive Surgery, Keio University Hospital, Shinjuku-Ward Shinanomachi 35, Tokyo, Japan.
  • ,
  • Junpei Miyamoto, MD

      Affiliations

    • Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University, Tokyo, Japan
  • ,
  • Kiyokazu Kokaji, MD

      Affiliations

    • Department Cardiovascular Surgery, School of Medicine, Keio University, Tokyo, Japan
  • ,
  • Ryohei Yozu, MD

      Affiliations

    • Department Cardiovascular Surgery, School of Medicine, Keio University, Tokyo, Japan
  • ,
  • Hua Jiang, MD

      Affiliations

    • Department of Plastic Surgery, Shanghai Second Military Medical College, ChangZheng Hospital, Shanghai, China
  • ,
  • HongMei Jin

      Affiliations

    • TOYOTA Central Research Institute, Nippon, Japan
  • ,
  • Tamotsu Tamaki, PhD

      Affiliations

    • Nippon Institute of Technology, Nippon, Japan

Received 19 June 2009 ,Revised 6 November 2009 ,Accepted 13 December 2009.

References 

  1. Fang FC, Cheng YL, Lee SC, Chen JC, Hsu HH, Tzao C. Clinical experience of Nuss procedure for pectus excavatum in adult female patients. Thorac Cardiovasc Surg. 2008;56:283–286
  2. Park HJ, Lee SY, Lee CS, Youm W, Lee KR. The Nuss procedure for pectus excavatum: evolution of techniques and early results on 322 patients. Ann Thorac Surg. 2004;77:289–295
  3. Weber PG, Huemmer HP, Reingruber B. Forces to be overcome in correction of pectus excavatum. J Thorac Cardiovasc Surg. 2006;132:1369–1373
  4. Teh SH, Hanna AM, Pham TH, Lee A, Deschamps C, Stavlo P, et al. Minimally invasive repair for pectus excavatum in adults. Ann Thorac Surg. 2008;85:1914–1918
  5. Futagawa K, Suwa I, Okuda T, Kamamoto H, Sugiura J, Kajikawa R, et al. Anesthetic management for the minimally invasive Nuss procedure in 21 patients with pectus excavatum. J Anesth. 2006;20:48–50
  6. Haller JA, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg. 1987;22:904–906
  7. Nagasao T, Miyamoto J, Tamaki T, Ichihara K, Jiang H, Taguchi T, et al. Stress distribution on the thorax after the Nuss procedure for pectus excavatum results in different patterns between adult and child patients. J Thorac Cardiovasc Surg. 2007;134:1502–1507
  8. Kopperdahl DL, Pearlman JL, Keaveny TM. Biomechanical consequences of an isolated overload on the human vertebral body. J Orthop Res. 2000;18:685–690
  9. Nuss D, Kelly REJ, Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg. 1998;33:545–552
  10. Croitoru DP, Kelly REJ, Goretsky MJ, Gustin T, Keever R, Nuss D. The minimally invasive Nuss technique for recurrent or failed pectus excavatum repair in 50 patients. J Pediatr Surg. 2005;40:181–187
  11. Schalamon J, Pokall S, Windhaber J, Hoellwarth ME. Minimally invasive correction of pectus excavatum in adult patients. J Thorac Cardiovasc Surg. 2006;132:524–529
  12. Schwabegger AH, Jeschke J, Del Frari B. A rounded dissector to reduce complications in the minimally invasive repair (Nuss) of pectus excavatum in adolescents and adults. Thorac Cardiovasc Surg. 2008;56:118–120
  13. Dzielicki J, Korlacki W, Janicka I, Dzielicka E. Difficulties and limitations in minimally invasive repair of pectus excavatum—6 years experiences with Nuss technique. Eur J Cardiothorac Surg. 2006;30:801–804
  14. Weber T, Mätzl J, Rokitansky A, Klimscha W, Neumann K, Deusch E. Medical Research Society. Superior postoperative pain relief with thoracic epidural analgesia versus intravenous patient-controlled analgesia after minimally invasive pectus excavatum repair. J Thorac Cardiovasc Surg. 2007;134:865–870
  15. Butkovic D, Kralik S, Matolic M, Kralik M, Toljan S, Radesic L. Postoperative analgesia with intravenous fentanyl PCA vs epidural block after thoracoscopic pectus excavatum repair in children. Br J Anaesth. 2007;98:677–681
  16. Yoshioka I, Saiki Y, Ichinose A, Takase K, Takahashi S, Ohashi T, et al. Tagged cine magnetic resonance imaging with a finite element model can predict the severity of retrosternal adhesions prior to redo cardiac surgery. J Thorac Cardiovasc Surg. 2009;137:957–962
  17. Balaras E, Cha KS, Griffith BP, Gammie JS. Treatment of aortic stenosis with aortic valve bypass (apicoaortic conduit) surgery: an assessment using computational modeling. J Thorac Cardiovasc Surg. 2009;137:680–687
  18. Nagasao T, Nakajima T, Kimura A, Kaneko T, Jin H, Tamaki T. The dynamic role of “Buttress” reconstruction after maxillectomy. Plast Reconstr Surg. 2005;115:1328–1340discussion 1341
  19. Nagasao T, Miyamoto J, Nagasao M, Ogata H, Kaneko T, Tamaki T, et al. The effect of striking angle on the buckling mechanism in blowout fracture. Plast Reconstr Surg. 2006;117:2373–2380discussion 2381

 Part of the present study was supported by a Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan (C-21500453).

 Disclosures: None.

PII: S0022-5223(09)01633-X

doi: 10.1016/j.jtcvs.2009.12.027

The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 1 , Pages 39-44.e2 , July 2010