Polish Journal of Thoracic and Cardiovascular Surgery
eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2026
vol. 23
 
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Letter to the Editor

Intraoperative intercostal nerve cryoanalgesia during the Ravitch procedure for Currarino–Silverman chest wall deformity

Michał Szostawicki
1
,
Robert Marguła
1
,
Justyna Pestka
1

  1. Department of Surgery, Clinical Department of Pediatric Surgery and Urology, School of Public Health, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
Kardiochirurgia i Torakochirurgia Polska 2026; 23 (1): 84–87
DOI: https://doi.org/10.5114/kitp.2026.160559
Online publish date: 2026/04/04
Article file
- Intraoperative intercostal - Michal Szostawicki.pdf  [2.16 MB]
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1. Chidambaram B, Mehta AV. Currarino–Silverman syndrome (pectus carinatum type 2 deformity) and mitral valve disease. Chest 1992; 102: 780-782.
2. Law L, Rayi A, Hendrix JM, Derian A. Cryoanalgesia. 2024 Feb 14. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29489178.
3. Yiu WK, Basco MT, Aruny JE, Cheng SW, Sumpio BE. Cryosurgery: a review. Int J Angiol 2007; 16: 1-6.
4. Walendziak W, Górski W, Sikorski M, Szumowska A, Ciopiñski M, Kaliciñski P, Mikaszewska-Sokolewicz M. The use of pre-emptive percutaneous cryoanalgesia before. modified Ravitch funnel chest surgery – a new form of postoperative pain management. A report of two clinical cases. Ból 2024; 25: 9-14.
5. Rettig RL, Yang CJ, Ashfaq A, Sydorak RM. Cryoablation is associated with shorter length of stay and reduced opioid use after the Ravitch procedure. J Pediatr Surg 2022; 57: 1258-1263.
6. Graves CE, Moyer J, Zobel MJ, Mora R, Smith D, O’Day M, Padilla BE. Intraoperative intercostal nerve cryoablation during the Nuss procedure reduces length of stay and opioid requirement: a randomized clinical trial. J Pediatr Surg 2019; 54: 2250-2256.
7. Arshad SA, Ferguson DM, Garcia EI, Hebballi NB, Buchanan AC, Tsao K. Cryoanalgesia is associated with decreased postoperative opioid use in minimally invasive repair of pectus excavatum. J Surg Res 2022; 271: 1-6.
Copyright: © 2026 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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