Cryoablation is associated with shorter length of stay and reduced opioid use in pectus excavatum repair
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ORIGINAL ARTICLE
Cryoablation is associated with shorter length of stay and reduced opioid use in pectus excavatum repair R. Luke Rettig1 · Andrew G. Rudikoff2 · Hoi Yee Annie Lo1 · Donald B. Shaul1 · Franklin M. Banzali2 · Antonio Hernandez Conte2 · Roman M. Sydorak1,3 Accepted: 4 November 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose The use of intercostal nerve cryoablation (INC) is becoming increasingly common in patients undergoing pectus excavatum (PE) repair. This study sought to evaluate the use of INC compared to traditional use of thoracic epidural (TE). Methods A retrospective review of 79 patients undergoing PE repair with either INC or TE from May 2009 to December 2019 was conducted. The operations were performed by four surgeons who worked together at four different hospitals and have the same standardized practice. The primary outcome measure was hospital length of stay (LOS). Secondary variables included surgical time, total operating room time, operating room time cost, total hospital cost, inpatient opioid use, longterm opioid use after discharge, and postoperative complications. Results LOS decreased to 2.5 days in the INC group compared to 5 days in the TE group (p
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