Same day discharge following minimally invasive repair of pectus excavatum

jpedsurg.org

Pectus excavatum is surgically managed with minimally invasive bar placement. Pain control effectively determines the postoperative length of stay (LOS). Pain management after this operation has been transformed with the use of intercostal cryoablation, with LOS of one night being a previous standard of care. We developed a protocol with the ambition of allowing for same-day discharge (SDD).

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Article · Sep 2025 · 1 min read

In brief

This article describes a protocol enabling same-day discharge after minimally invasive pectus excavatum repair, traditionally requiring overnight hospitalization. The approach leverages intercostal cryoablation for superior pain control, potentially transforming postoperative care pathways for this common chest wall deformity.

Intercostal cryoablation has transformed pain management after minimally invasive pectus excavatum repair, reducing hospital stays.
Traditional postoperative length of stay was one night; new protocols now enable same-day discharge for select patients.
Effective pain control is the primary determinant of postoperative length of stay after pectus bar placement.
Same-day discharge protocols for minimally invasive pectus repair are feasible with optimized perioperative pain management strategies.

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