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Implementation of an Enhanced Recovery Pathway for Minimally Invasive Pectus Surgery: A Population-Based Cohort Study Evaluating Short- and Long-Term Outcomes Using eHealth Technology

机译:用于微创Pectus手术的增强恢复途径的实施:使用eHealth技术评估基于人群的群组研究评估短期和长期结果

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摘要

Pectus excavatum and pectus carinatum are the most common chest wall deformities. Although minimally invasive correction (minimally invasive repair of pectus, MIRP) has become common practice, it remains associated with severe postoperative pain. Preoperative psychosocial factors such as anxiety and low self-esteem can increase postsurgical pain. Early detection of psychological symptoms, effective biopsychosocial perioperative management of patients, and prevention of pain chronification using an enhanced recovery pathway (ERP) may improve outcomes. However, the incidence of the latter is poorly described in adolescents undergoing MIRP.
机译:PECTUS ECHAVATUM和PECTUS CARINATUM是最常见的胸壁畸形。虽然微创矫正(MiRP的微创修复,MIRP)已经成为常见的做法,但它仍然与严重的术后疼痛有关。术前心理社会因素,如焦虑和低自尊可以增加后期疼痛。早期发现心理症状,有效的活检性围手术期管理患者,并使用增强的恢复途径(ERP)预防疼痛量计程度可能改善结果。然而,后者的发病率在接受MIRP的青少年中描述。

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