Technical Considerations in the Surgical Management of Pectus Excavatum and Carinatum
| Autor: | Francis Robicsek, Mullen Dc, Robert D. Jackson, Donald Hall, Harry K. Daugherty, Harbold Nb, Paul W. Sanger, Thomas N. Masters |
|---|---|
| Rok vydání: | 1974 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Sternum medicine.medical_specialty Adolescent medicine.medical_treatment Ribs Osteotomy Pectoralis Muscles Pectus excavatum Recurrence Methods medicine Deformity Surgical Wound Infection Humans Child Contraindication business.industry Suture Techniques Infant Thoracic Surgery Thorax Surgical correction medicine.disease Costal cartilage Surgery Mediastinitis Cartilage medicine.anatomical_structure Keloid Child Preschool Funnel Chest Drainage Pectus carinatum Female Xiphoid Bone medicine.symptom Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 18:549-564 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(10)64401-3 |
| Popis: | During the past 25 years, 650 operations have been performed on 608 patients for anatomically significant pectus excavatum or carinatum deformities of the anterior chest wall. There were no deaths in this series, and serious complications were very rare. We conclude that repair of pectus excavatum and carinatum deformities should include the following operative steps: (1) adequate mobilization of the sternum and correction of its abnormal angulation by transverse osteotomy; (2) adequate bilateral removal of the involved costal cartilage; and (3) securing the corrected position of the sternum with the patient's own living tissue, retaining its blood supply and using it as an internal support. Using these principles, new surgical procedures were developed for the correction of: symmetrical pectus excavatum, asymmetrical pectus excavatum, pectus carinatum with xiphoid angulation, pectus carinatum without xiphoid angulation, asymmetrical pectus carinatum, chondromanubrial prominence with chondrogladiolar depression, and recurrent pectus excavatum. We recommend surgical correction for patients in whom the deformity is significant and no contraindication exists. The ill effects of this condition should not be underestimated. |
| Databáze: | OpenAIRE |
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