medigraphic.com

2006, Number 4

<< Back Next >>

Rev Mex Cir Pediatr 2006; 13 (4)

Correction of pectus excavatum by minimally invasive Initial experience in Mexico

Mora FJR, Santiago RJE, Quintero CJL, Zaldívar CJA, Puga AVM

Language: Spanish
References: 10
Page: 163-167
PDF size: 348.17 Kb.


ABSTRACT

Introduction: The surgical management of pectus excavatum requires cartilage resection and sternal osteotomy. In 1998 Donald Nuss describes his minimally invasive technique.
Material and Methods: 5 patients were selected and evaluated with pulmonary and cardiologic tests, Haller computed tomography index. With thoracoscopy the metal bar was passed under the sternum and turned over, and the deformity is corrected immediately.
Results: five patients were treated, between 6 to 11 years. They did not require mechanical ventilation or intensive care unit stay. Surgical time was 60 to 90 minutes. Total hospital stay from 4 to 7 days. We observed excellent results in all patients. There were no complications. The long term evolution is satisfactory.
Conclusions: The Nuss procedure is a safe option for patients with pectus excavatum, with better results, fewer complications, which is now available in Mexico.


REFERENCES

  1. Ravitch MM. The operative treatment for pectus excavatum. Ann Surg 1949;129:429-444.

  2. Nuss D, Kelly R, Croitoru D, Katz M. A 10 year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 1998;33:545-552.

  3. Hebra A, Gauderer M, Tagge E, Adamson W, Othersen B. A simple technique for preventing bar displacement with the Nuss repair of pectus excavatum. J Pediatr Surg 2001;36:1266-1268.

  4. Croitoru D, Kelly R, Goretsky M, Lawson M Swoveland B, Nuss D. Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients. J Pediatr Surg 1998; 33:545-552.

  5. Bohosiewicz J, Kudela G, Koszutski T. Results of Nuss procedure for the correction of pectus excavatum. Eur J Pediatr Surg 2005;15:6-10.

  6. Haller JA, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery. J Pediatr Surg 1987;22.904-908.

  7. Lawson M, Cash T, Akers R, Vasser E, Burke B, Tabangin M, Nuss D, et al. A pilot study of the impact of surgical repair en disease specific quality of life among patients with pectus excavatum. J Pediatr Surg 2003; 38:916-918.

  8. Moss L, Albanese C, Reynolds M. Major complications after minimally invasive repair of pectus excavatum: case reports. J Pediatr Surg 2001; 36:155-158.

  9. Joo-Park H, Yeol-Lee S, Sae-Lee C. Complications associated with the Nuss procedure. J Pediatr Surg 2004; 39:391 – 395.

  10. Fonkalsrud E, Beanes S, Hebra A, Adamson W, Tagge E. Comparison of minimally invasive and




2020     |     www.medigraphic.com