Thirty years' experience of open-repair surgery for pectus excavatum: development of a metal-free procedure
| Autor: | Toru Kobayashi, Satoshi Kondo, Takeo Mizuno, Shingi Sasaki, Yoshitaka Fujii, Akira Masaoka, Yosuke Yamakawa, Fujio Hara |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Reoperation Pulmonary and Respiratory Medicine Sternum medicine.medical_specialty Adolescent Blood Loss Surgical Ribs Nuss procedure Severity of Illness Index Intraoperative Period Young Adult Postoperative Complications Pectus excavatum Deformity Humans Medicine Child Pain Postoperative business.industry Prostheses and Implants General Medicine Length of Stay medicine.disease Osteotomy Surgery Cartilage Treatment Outcome Metals Child Preschool Funnel Chest Open repair Female medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Journal of Cardio-Thoracic Surgery. 41:329-334 |
| ISSN: | 1873-734X 1010-7940 |
| DOI: | 10.1016/j.ejcts.2011.06.022 |
| Popis: | Objective: Throughout the history of surgery for pectus excavatum (PE), the Nuss procedure and open repair have been performed with many modifications, with most of these procedures using a metal bar. However, the use of a metal bar has several drawbacks. Thus, we aimed to develop a procedure that did not require a metal bar. Methods: Through our experience of 426 pediatric cases that underwent various procedures for open repair of PE at Nagoya City University, we arrived at the current procedure that we describe herein. We have evaluated this procedure by review of clinical results and deformity indices (Haller’s, steepness, excavation volume, and asymmetry index). Results: The latest and current procedure that supports the sternum with a bridge constructed by the 4th or 5th costal cartilages is associated with fewer complications, a lower re-operation rate, and striking improvement in the indices examined. Conclusions: Our current open-repair procedure that does not require a metal bar is recommended for correction of deformities of PE in children. # 2011 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved. |
| Databáze: | OpenAIRE |
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