Editorial comment: The Nuss procedure.

the quality of life in young male adults with pectus excavatum deformity. Nakajima T. Stress distribution on the thorax after the Nuss procedure for pectus excavatum results in different patterns between adult and child patients. Postoperative consumption of opioid analgesics following correction of pectus excavatum is influenced by pectus severity: a single-centre study of 236 patients undergoing minimally invasive correction of pectus excavatum.bar application decreases postoperative pain after the Nuss procedure.: I have two questions: how long do you leave the epidural catheter in place and do you assess your pain management by visual analogue scale scores? DR. PILEGAARD: The epidural catheter stays in for two days. We close it on the second day in the morning, and before that the patient is started on tablets for pain relief. Around 20% of patients are discharged on the second day after operation. Dr Pilegaard, given that you have the largest volume unit, every time you present I watch with interest and respect. Primarily this operation is performed for cosmesis. What sort of patient satisfaction did you look at in this study? DR. PILEGAARD: I can say that the indications in all of these patients have been cosmetic. Some of the patients have complained about other symptoms, as you know: breathlessness, or they don't feel they have the same physical capacity as other persons of the same age. But I think they are very non-specific symptoms. So our indications have in all cases been cosmetic. DR. NAIDU: Did you make any objective assessment of the improvement in patient quality of life or satisfaction between your under-30 group and your over-30 group? DR. PILEGAARD: You mean if there had been a change in quality of life? Could you repeat your question? DR. NAIDU: Sorry. Was there any difference between the improvement in quality of life or patient satisfaction between the under-30 group and the over-30 group? DR. PILEGAARD: We haven't looked at that issue. We have only looked at quality of life in the group from 11 to 20 years, so I can't tell you about that from our results. But we know from a paper from England that in young adults you have the same increase in quality of life as you see in the young ones, and when the patients come back to the outpatient clinic for postoperative control, they are very pleased with the operation. So I think they have …