Pain and sensory disturbances following surgical repair of pectus carinatum

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

BACKGROUND/PURPOSE: The purpose of this study was to assess the characteristics of persistent postoperative pain and sensory disturbances following surgical repair of pectus carinatum.

METHODS: Using a prospective observational design, 28 patients were assessed before, 6 weeks and 6 months after a modified Ravitch operation for pectus carinatum. Postoperative pain was assessed using the Short Form McGill Pain Questionnaire. Sensory testing was conducted to detect brush-evoked allodynia and pinprick hyperalgesia. Additionally, generic and disease-specific quality of life was assessed using the Short Form-36 Health Survey and the Nuss Questionnaire Modified for Adults before and after surgery.

RESULTS: Six weeks after surgery, ten patients reported mild pain or discomfort. Six months after surgery, four patients reported only mild pain. Allodynia was detected in two patients 6 weeks and 6 months after surgery. Hyperalgesia was detected in eight patients 6 weeks after surgery, and in six patients 6 months after surgery. Generic quality of life was significantly improved over time.

CONCLUSIONS: The study showed no significant pain problems, a tendency to reduced sensory disturbances and significant improvements in quality of life 6 months after surgical repair of pectus carinatum. Future studies should include a longer follow-up period to determine if these positive results are persistent.

LEVELS OF EVIDENCE: 1 (Prognosis Study).

Original languageEnglish
JournalJournal of Pediatric Surgery
Volume53
Issue4
Pages (from-to)733-739
Number of pages7
ISSN0022-3468
DOIs
Publication statusPublished - Apr 2018

    Research areas

  • Journal Article, Postoperative, Pain, Sensory disturbance, Pectus carinatum, Prognosis, Prospective Studies, Follow-Up Studies, Health Status Indicators, Pectus Carinatum/surgery, Humans, Male, Treatment Outcome, Young Adult, Hyperalgesia/diagnosis, Orthopedic Procedures, Adolescent, Quality of Life, Female, Pain Measurement, Pain, Postoperative/diagnosis

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