Background: Pectus arcuatum is a rear congenital chest wall deformity and methods of surgical correction are debatable.Methods: Surgical correction of pectus arcuatum always includes one or more horizontal sternal osteotomies, resection of deformed rib cartilages and finally anterior chest wall stabilization. The study is approved by the institutional ethical committee and has obtained the informed consent from every patient.Results: In this video we show our modification of pectus arcuatum correction with only partial sternal osteotomy and further stabilization by vertical parallel titanium plates.Conclusions: Reported method is a feasible option for surgical correction of pectus arcuatum.
Funnel-shaped deformation of the chest (pectus excavalus) is a congenital pathology of the anterior thoracic wall, manifested by the retraction of the sternum and sternocostal cartilages in various forms and degrees. There are many options for correcting this deformation, which can be conditionally divided into open and minimally invasive methods. In the leading clinics for this pathology, there is recently used the most minimally invasive method of correction by Nass. Unfortunately, for today there is no the only as an algorithm for preoperative examination of patients with this pathology, as well as the decision on the choice of surgical correction method.
ГБУЗ МО Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского (МОНИКИ)Некоторые препараты, применяемые при химиотерапии у больных со злокачественными новообразова-ниями, наряду с определенной эффективностью обладают способностью вызывать ряд побочных явлений. В частности, при применении капецитабина возможно развитие грозного осложнения -ладонно-подошвенной (палмарно-плантарной) эритродизестезии. В статье приведено собственное наблюдение этого осложнения.Ключевые слова: химиотерапия, побочные явления, ладонно-подошвенный синдром.
PALMAR-AND-PLANTAR ERYTHRODYSESTHESIA IS A SERIOUS COMPLICATION AFTER CAPECYTABIN: OUR OWN EXPERIENCE
L.M. Kogonia, V.S. Mazurin, O.V. Ilnitskaya, E.A. Gukasyan, V.A. Kuzmichov, M.A. Sidorov
M.F. Vladimirsky Moscow Regional Clinical and Research Institute (MONIKI)Some drugs used in chemotherapy of patients with malignant tumors, together with the definite efficiency, is capable of inducing some side effects. In particular, while using capecytabin, development of severe complication -palmar-plantar erythrodysesthesia -is quite possible. Our own observation of this complication is presented in the article.
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