Pectus excavatum - discharge
Your child had surgery to correct pectus excavatum. This is a deformity of the front of the chest wall that causes a sunken breastbone (sternum) and ribs.
There is now a metal bar or strut that goes across the front of your child's chest cavity. It will stay in place for about 2to 3 years.
Your child should walk often during the day to build up strength. You may need to help your child get in and out of bed during the first 1to 2 weeks after surgery.
During the first month at home, your child should:
- Always bend over at the hips.
- Sit up straight to help keep the bar in place. Donot let your child slouch.
- Dono let your childroll onto either side.
Your child should not use a backpack or carry more than about 5 pounds for at least the first 2 months.
Your child should avoid vigorous activity and contact sports for 6 weeks to 3 months. After that, activity is good because it improves growth of the chest and strengthens the chest muscles. Ask your child's doctor when your child can be more active again.
Your child can return to school after 2to 3 weeks.
It may be more comfortable for your child to sleep partly sitting up in a recliner for the first 2to 4 weeks after surgery.
It is okay for your child to have baths. Most dressings (bandages) will be removed by the time your child leaves the hospital. There may still be strips of tape on the incisions. Leave these in place. They will fall off on their own. You may see a small amount of drainage on the strips. This is normal.
Your child should have a follow-up appointment with the surgeon about 2 weeks after surgery. Other doctor visits will be needed while the metal bar or strut is still in place. Your child will have another surgery to remove the bar or strut. This surgery is usually done on an outpatient basis.
Your child should wear a medical alert bracelet or necklace while the metal bar or strut is in place. The surgeon can give you more information about this.
When to Call the Doctor
Call the doctor or nurse if your child has:
- A fever over 101.0°F (38.3°C)
- Increased swelling, pain, drainage, or bleeding from the wounds
- Severe chest pain
- Shortness of breath
- Nausea or vomiting
- Change in the way the chest looks since the surgery
Boas SR. Skeletal diseases influencing pulmonary function. In: Kliegman RM, Stanton BF, St. Geme JW III, et al., eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 411.
Putnam JB Jr. Lung, chest wall, and pleura. In: Townsend CM Jr., Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 58.
Review Date: 2/7/2013
Reviewed By: Matthew M. Cooper, MD, FACS, Medical Director, Cardiovascular Surgery, HealthEast Care System, St. Paul, MN. Review provided by VeriMed Healthcare Network.Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.