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Ladenhauf, HN; Stundner, O; Likar, R; Schnöll, J; Metzger, RP.
Successful Treatment of Persistent Pain After Pectus Excavatum Repair Using Paravertebral Nerve Radiofrequency Thermoablation.
A A Case Rep. 2017; 8(1): 18-20. Doi: 10.1213/XAA.0000000000000411 (- Case Report)
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Co-authors Med Uni Graz
Likar Rudolf
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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.
Find related publications in this database (using NLM MeSH Indexing)
Ablation Techniques - methods
Adult - administration & dosage
Chronic Pain - prevention & control
Funnel Chest - surgery
Humans - administration & dosage
Male - administration & dosage
Minimally Invasive Surgical Procedures - administration & dosage
Nerve Block - methods
Orthopedic Fixation Devices - adverse effects
Pain Measurement - administration & dosage
Pain, Postoperative - prevention & control
Thoracic Nerves - administration & dosage
Treatment Outcome - administration & dosage

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