Collection
Built automatically
From across the library
Not curated by a person
Chest Pain
Compiled from across the library · built automatically
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
An autologous rib can be harvested from above or below the resection site and used to replace the resected rib, providing better chest wall contour without respiratory gaping. Tricks - Thoracoscopic-Assisted Partial Rib Resection - Jack Langer · 6:20
Tricks - Thoracoscopic-Assisted Partial Rib Resection - Jack Langer
Watch →
video9:18 · Nov 2018
Spontaneous Pneumothorax Rapid Fire: Update Course 2015
Watch →
Dr. Samir Pandya, Assistant Professor, Department of Surgery, Children's and Women's Physicians of Westchester, presents on spontaneous pneumothorax. He discusses pneumothorax size, thoracentesis reoccurrence, and pleurodesis versus fibrin
video9:45 · Jan 2019
Needle mapping through the chest wall is useful to determine the optimal incision location for chest wall lesion resection Thoracoscopic-Assisted Partial Rib Resection: Pediatric Surgery Difficult... · 8:15
Thoracoscopic-Assisted Partial Rib Resection: Pediatric Surgery Difficult...
Watch →
During the Pediatric Surgery Tricks of the Trade and Difficult Cases: Innovative Solutions to Common Problems Course in 2013, Dr. Jacob Langer demonstrates and discusses thoracoscopic-assisted partial rib resection in patient found to have
video8:28 · Sep 2018
Patients are advised to avoid sleeping on their side initially, but if they are comfortable doing so and attempt it, they will self-limit based on discomfort Pectus-Patient Testimonial and Experience · 11:33
Patient Testimonial and Experience: Pectus Innovations
Watch →
Cole Goodridge, former patient of Dr. Garcia's underwent a pectus repair procedure at twenty-one years of age. He had previously had the Ravitch procedure at age three. Following this procedure he was experiencing persistent symptoms. Follo
video13:55 · Jan 2019
Pectus-Patient Testimonial and Experience
Watch →
Cole Goodridge, former patient of Dr. Garcia's underwent a pectus repair procedure at twenty one years of age. He had previously had the ravitch procedure at age three. Following this procedure he was experiencing persistent symptoms. Follo
video14:33 · Mar 2022
Expert statements from the recordings in this collection.
Patient Testimonial and Experience: Pectus Innovations
Rebecca Garcia underwent pectus repair surgery on August 1st of the previous year at age 21
Rebecca Garcia0:15
Rebecca had previously undergone the Ravitch procedure in Atlanta, Georgia at age 3 or 4 years old
Rebecca Garcia0:22
Despite prior Ravitch procedure, Rebecca continued to experience chest pains and trouble breathing
Rebecca Garcia0:22
Meditation, specifically Jack Kornfield videos recommended by Dr. Garcia, helped with mental recovery from pectus surgery
Post-operative pectus patients experience significant physical restrictions including inability to turn, twist, or lift more than 5 pounds
Rebecca Garcia2:19
The mental and emotional burden of post-operative dependency is as significant as the physical recovery challenges
Robaxin (methocarbamol) helps relieve chest tightness and pressure sensations in post-operative pectus patients
Rebecca Garcia3:36
Dr. Garcia required Rebecca to wait 3 months before returning to weight training after pectus repair
Rebecca Garcia4:15
After 3 months and gradual return to exercise, Rebecca achieved strength levels exceeding her pre-operative baseline
Rebecca Garcia4:32
Having a dedicated pain team with established protocols reduces delays in pain medication administration
Pain team protocols eliminate the need to wait for individual physician orders for pain medication
Todd Ponsky5:41
Patients are systematically screened for resistant staph (MRSA/URSA) prior to pectus surgery
Garcia7:23
Patients who screen positive for resistant staph receive nasal and underarm swabs and are prepared according to protocol
Garcia7:29
Bactroban is given intranasally twice per day for 7 days prior to surgery for patients with resistant staph colonization
Vacuum belts for pectus patients are obtained directly from suppliers in Germany at a cost of approximately $400-500
For routine procedures like umbilical hernia repair, one surgeon places no activity restrictions, relying on children's self-limitation based on pain
For pectus patients, full activity is permitted after 3 months (12 weeks) post-operatively
Adolescent pectus patients do not always adhere to the 3-month activity restriction, with some observed doing prohibited activities
After 3 months, pectus patients are recommended to perform stretching and core strengthening exercises using instructional YouTube videos
A good percentage of lower anterior rib flaring after Nuss procedure resolves spontaneously
For older patients with rib flaring, ribs below the repair site can be broken and pushed down, a technique observed at Mayo Clinic
Rib osteotomy for flaring is less effective in pediatric patients due to their greater flexibility
Rib flaring tends to improve over time in many pediatric pectus patients
Garcia11:13
Sleeping position after pectus repair is patient-guided; if side-sleeping is comfortable, it is permitted
Patients naturally move during sleep regardless of prescribed sleeping positions
MRI is preferred over CT scan for pectus evaluation based on discussion during this session
Cardiac effects of pectus excavatum are clinically significant, not merely cosmetic
A planned study will examine post-operative cardiac findings in pectus patients, led by cardiologist Michael Taylor
Pectus-Patient Testimonial and Experience
The patient underwent pectus repair surgery on August 1st of the previous year at age 21
Rebecca Garcia0:15
The patient had previously undergone the Ravitch procedure in Atlanta, Georgia at age 3 or 4 years old
Rebecca Garcia0:22