What monitoring is needed following 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

The typical follow-up postoperative repair of pectus excavatum involves outpatient visits with the pediatric surgeon 2-3 weeks after surgery and at regular intervals after that for the next 2 years. Monitoring patients at least every 3-6 months is recommended to ensure that they are not developing an anterior protrusion of the chest due to too much pressure from the pectus bar. Pectus carinatum as a sequela of MIRPE has been reported.

Following surgery, patients are reminded that good posture with a straight back is very important. Bending at the hip and slouching are not allowed in the first 1-2 months following repair. Regular activity is permitted as postoperative pain decreases and mobility increases. Heavy lifting is not permitted for 1 month following surgery, and contact sports are to be avoided. Heavy lifting can be defined as anything greater than 10 lb, and patients are not allowed to carry heavy book bags for at least 4 weeks. The bar generally remains implanted for 2 years and is removed in an outpatient procedure under anesthesia. [17]


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