Pectus Excavatum PostOperative Care - Maintaining Chest Appearance after Surgery

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By expectus

This hub will go through the details of post operative care. The things you should do after having the surgery to speed up recovery and to get the full benefit of the pectus excavatum surgery. 

Patients will kept well sedated on the first 1 to 3 days for pain management and to prevent bar displacement. Medications and therapies depend on the patient's response to pain and may include the use of ephidural catheter, or morphine.

Patients are usually discharged from the hospital when they can walk unassisted and have become used to the bar. 

Recommended PostOperative Protocol

Day 1 & 2:

- Out of bed with assistance

- NO chest or wasit bending

- NO twisting

- NO log rolling

- Deep breathing  , every hour when awake

Day 3:

- Out of bed with minimal assistance

- No chest or waist bending

- No twisting

- NO log rolling

- Deep breathing every hour 

 

After Discharged from Hospital

 Once you are discharged from hospital it is very important to maintain good posture and limit activity for the first month until you have gotten used to the bar. Regular activity can be recommenced within 4 to 6 weeks. 

When returning to regular exercise its important to remember these points

- Frequent walking will help you become accustomed with the bar

- Deep breathing exercise performed twice a day , every evening and morning to really expand the chest and get the full benefits of the surgery.

- No wasit bending, twisting or log rolling for first 4 weeks at home

- Keeping a straight back and no slouching for the first month

- No heavy lifting for two months following the surgery

- No contact sports for the first three months following surgery 

I hope this hub helps people decide whether or not surgery is for them after seeing what it will be like to recover and the amount of restrictions you must follow afte the surgery. The next pectus excavatum hub will be on the bar removal procedure.

just reminding you to smile:)

Comments

Tara 22 months ago

First thank you for the advice on the exercises, my doctor is mad cause I'm not healing as fast as he would like, so i'll try those. I had the nuss procedure done about a month ago and am still in a considerable amount of pain. I'm 24 and currently am just taking Ibprofuen (which doesn't work)for the pain. Is there any exercise to relieve the pressure a bit just to relax for a second. I still can't sleep through the whole night because I wake up and have to rotate myself, how long is that going to last? Why is it the worst in the mornings? That's when I feel major pain.

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expectus Hub Author 22 months ago

Tara - how long has it been since you've had the surgery , it can be quite painful for sometime as it is physically pushing your sternum out. Have you tried lying on your back with a pillow under your knee's or on your side with a pillow between your knee's? as these two positions help you sleep with good posture.

Definitely keep up the deep breathing exercises it can help speed up the recovery and get your body used to having a more normal sternum. It is probably more painful in the morning due to the fact that your muscles have been resting all night and are now cold and you need to warm them up before they loosen up and get comfortable.

You can start the day with a hot shower to heat your body up and muscles many sports people do it in order to get there bodies moving in the mornings.:)

boy 20 months ago

I have a slight dent on the right side of my rib cage ... And it is visible ... but its only on one side ... and the other side is fine ... the right side is bent inwards just like pectus ecavatum ... I want it to be proper ... will an operation be necessary ?

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expectus Hub Author 20 months ago

there are many non surgical options including bracing which can be very effective at bringing in flared ribs.

Max 20 months ago

Anyone know how long after establishing new independent medical coverage can you qualify for this surgery? thanks.

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expectus Hub Author 20 months ago

Max - that would a question for your insurance provider but for my insurance company it was around 6 months due to the costs

Max 20 months ago

So, how was the surgery? are you happy with the results. Do you have before and after pics? Video? :) I've seen some youtubes of guys with good results. I am older, so I wonder if I might as good results. Thanks :)

stewy005 18 months ago

umm do you know how much the surgery may cost

Rob 18 months ago

I have Pectus excavactum and I want to get rid of it. Is the surgery for it life threatning? And how much would it cost?

Josh 18 months ago

Im 15 i had it done was worth it hurt like a motherfucker though hahaha was up walkin round on my own perfectly fine afer the op on the very same day id had it done even though had to have two ops cos my surgeon punctured my lung it was really worth it cos my chest was so deep got some great drugs for it took them while to find any drugs that worked on me had to put me on strongest stuff they had which made me really high spent hours chattin on bout wierd shit to my nurses until they took me off it hahaha

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expectus Hub Author 17 months ago

Max - I saw a surgeon about 3 months ago, and he said he would perform the surgery for me but I was considered very mild,

stewy005 - it depends on insurance, and country but I hear around 20,000 US or a lot less with insurance in some cases you barely pay anything

Rob - surgery is generally for those who want the cosmetic results from the surgery or they are having trouble breathing or problems with chest pain.

Josh - hehe sounds like fun Josh, hope your chest holds its position and you get the most out of it

Billie 10 months ago

I'm 19 female i'm pretty sure i have severe pect. exc. my boobs are a whole cup size difference sometimes i have painful breathing and feels like my ribs are stabbing me. I can actually get my hand under the left rib cage and its discusting and im scared of sergery should i just deal with it.

Daniel 6 months ago

Hey I have PE and I'm 16. Almost 17. I'm wondering how painful the nuss procedure is and is it pain in the bone? As apposed to muscle? I have the type of PE where one side of my chest has pushed the right side down causing it to be depressed like boy's, do you know if its possible to get the nuss procedure for that?

Sal 6 months ago

My son has is 14 his chest is starting to sink. It looks like he has PE, what excerices can he do to improve the appearance. I have a PPO, and can pretty much go to any doctor, I don't like my primary provider, but what kind of doctor can make the initial diagnoses.

Dave 3 months ago

Sal, if your son is diagnosed with PE, then there aren't any exercises that can prevent it.

Surgery, (the Nuss Procedure is newest and minimally invasive) is the only option.

Results may vary, consult your doctor.

Lancer 3 months ago

Hey just wondering the cost of the procedure, i want to get the most out running and hiking and i think the compression makes it slightly harder since i have less stamina than i should. I am 23 so wondering how muhc of a improvment the surgery will have

max 10 days ago

I was wondering if this surgery will help improve certain back problems and posture? I have researched the nuss procedure and Im very interested. Im 18 years of age

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