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Successful Treatment of Persistent Pain After Pectus Excavatum Repair Using Paravertebral Nerve Radiofrequency Thermoablation.
- Source :
-
A & A case reports [A A Case Rep] 2017 Jan 01; Vol. 8 (1), pp. 18-20. - Publication Year :
- 2017
-
Abstract
- We present a case of a 25-year-old male patient suffering from severe prolonged pain after uneventful pectus excavatum repair that could be treated successfully by paravertebral nerve radiofrequency thermoablation. The patient was scheduled for a minimally invasive Nuss pectus excavatum repair. Surgical correction was performed under general anesthesia in combination with a thoracic peridural catheter. The immediate postoperative course was uneventful; however, the patient developed severe prolonged bilateral chest wall pain across segments T8 and T9. After failure of conservative treatment options, a specialized interventional anesthesiologist performed paravertebral nerve radiofrequency thermoablation of segment T9 bilaterally, after which the patient was pain free until scheduled removal of the pectus bar 3 years after placement.
- Subjects :
- Adult
Humans
Male
Minimally Invasive Surgical Procedures
Nerve Block methods
Pain Measurement
Treatment Outcome
Ablation Techniques methods
Chronic Pain prevention & control
Funnel Chest surgery
Orthopedic Fixation Devices adverse effects
Pain, Postoperative prevention & control
Thoracic Nerves
Subjects
Details
- Language :
- English
- ISSN :
- 2325-7237
- Volume :
- 8
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- A & A case reports
- Publication Type :
- Academic Journal
- Accession number :
- 27811494
- Full Text :
- https://doi.org/10.1213/XAA.0000000000000411