What should be done prior to surgical repair of pectus excavatum?

Updated: Oct 30, 2018
  • Author: Andre Hebra, MD; Chief Editor: Girish D Sharma, MD, FCCP, FAAP  more...
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Answer

Prior to surgery, the chest is measured from the midaxillary line to midaxillary line to determine the approximate length of the bar required, and the correct length is typically obtained by subtracting 1 cm from that initial measurement. A mild bowel preparation 1 day before surgery may be helpful in decreasing problems related to postoperative constipation. Administer a first-generation cephalosporin antibiotic (cefazolin) approximately 1 hour prior to surgery and continue for at least 48 hours or until the patient is afebrile. As a rule, patients can be admitted on the same day of surgery.


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