Efficacy and Safety of Taulinoplasty Compared with the Minimally Invasive Repair of Pectus Excavatum Approach to Correct Pectus Excavatum

García, B Núñez; García, N Álvarez; Aquino-Esperanza, José; Miró, C Esteva; Pérez-Gaspar, M; Gómez, J Jiménez; Alvarenga, J E Betancourth; Martínez, S Santiago; Jiménez-Arribas, P; Güizzo, Javier Roberto

doi:10.1089/lap.2021.0216

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…By avoiding the invasion of the mediastinum and the pleural cavity, it reduces the risk of injury to the intrathoracic vital organs. It also showed significant reductions in hospital length of stay, surgical time, and IV analgesia compared with the MIRPE technique (5,6). We report our protocol for pain management compared to MIRPE (Figure 4).…”

Section: Discussionmentioning

confidence: 93%

Case Report: Modified Taulinoplasty: a new technique for minimally invasive repair of pectus excavatum

Frediani,

Beati,

Pardi

et al. 2024

Front. Surg.

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IntroductionAbout 95% of congenital chest wall deformities are pectus abnormalities, with pectus excavatum (PE) being the most common. The purpose of this work is to offer a modified Taulinoplasty Technique based on 35 consecutive PE patients' 1-year single-center experience in 2022.TechniqueOne minimally invasive procedure for PE is taulinoplasty. In order to prevent invasion of the mediastinum or pleural cavity, it is considered that external traction can be used to raise the sternum. Our experience indicates that the most common surgical consequences of this procedure—which involves creating a submuscular and subcutaneous tunnel to install the metal device—are post-operative seroma and wound dehiscence. We modified the conventional method to achieve more aesthetically pleasing results.DiscussionTaulinoplasty seems to be a safe technique, easier and more feasible than standard Taulinoplasty, with better outcomes in terms of surgical complications, although further experience is necessary to confirm our preliminary data.

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Section: Discussionmentioning

confidence: 93%

Case Report: Modified Taulinoplasty: a new technique for minimally invasive repair of pectus excavatum

Frediani,

Beati,

Pardi

et al. 2024

Front. Surg.

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“…Here's an overview of some key points in this discussion. Improved Correction: One of the main reasons for considering a double Pectus Up technique is to achieve better correction of the chest deformity, especially in cases of severe or complex pectus excavatum (5). By using two devices instead of one, surgeons can distribute the force more evenly across the chest wall, potentially leading to a more symmetrical and stable correction.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Double Pectus Up in severe pectus excavatum, the new frontier of modified taulinoplasty

Frediani,

Corbi,

Pardi

et al. 2024

Front. Pediatr.

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IntroductionPectus excavatum, also known as “sunken chest” or “funnel chest,” is a congenital condition where the sternum caves inward, creating a noticeable depression in the chest. This deformity can range from mild to severe cases, and can affect appearance and lung and heart function. Treatment options vary depending on the severity of the condition and associated symptoms. A case study was conducted on three patients suffering from severe forms of pectus excavatum using modified taulinoplasty with two Pectus Up bars.Case descriptionThe patients were males, with an age of 15 years. Preoperatively, they underwent spirometry, an echocardiogram, and allergy tests. The procedure involved inserting two Pectus Up bars into the chest wall at the major sternal defect, allowing the implant to remain completely invisible. The procedure involved placing the sternal plate at the deepest point and anchored to the sternum with five self-tapping screws. The chest plate was then fixed to the bar using two screws.DiscussionThe use of Pectus Up was first reported in 2016 and has been a subject of scientific discussion and research. The double Pectus Up technique offers improved correction, increased stability, and reduced complications. However, it also presents challenges such as increased technical complexity and potential for prolonged operative times. Patient outcomes showed promising results in terms of short-term correction and long-term stability. The use of a double bar technique in the modified Taulinoplasty procedure is a key area of ongoing clinical research and innovation in pectus excavatum repair. Further studies will be needed, including more institutions that use this technique to validate our initial experience.

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The pectus care guidelines: best practice consensus guidelines from the joint specialist societies SCTS/MF/CWIG/BOA/BAPS for the treatment of patients with pectus abnormalities

Dunning,

Burdett,

Child

et al. 2024

European Journal of Cardio-Thoracic Surgery

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EXECUTIVE SUMMARY Pectus defects are a group of congenital conditions found in approximately 1 in 250 people, where the sternum is depressed back towards the spine (excavatum), protrudes forwards (carinatum) or more rarely is a mixture of both (arcuatum or mixed defects). For the majority of patients, it is well tolerated, but some patients are affected psychologically, physiologically or both. The deformity becomes apparent at a young age due to the growth of the ribs and the cartilage that links them to the sternum. The majority of defects are mild and are well tolerated, i.e. they do not affect activity and do not cause psychological harm. However, some young people develop lower self-esteem and depression, causing them to withdraw from activities (such as swimming, dancing) and from interactions that might ‘expose’ them (such as sleepovers, dating, going to the beach and wearing fashionable clothes). This psychological harm occurs at a crucial time during their physical and social development. A small number of patients have more extreme depression of their sternum that impedes their physiological reserve, which can occur when engaging in strenuous exercise (such as running) but can also limit moderate activity such as walking and climbing stairs. The effects can be so extreme that symptoms occur at rest or cause life-threatening compression of the major blood vessels and organs. The group of patients with physiological impairment usually also suffer from low self-esteem and depression. This paper summarizes the current evidence for the different treatment strategies for this condition, including supportive care, psychological support and non-surgical techniques including bracing and vacuum bell therapy. We also consider surgical techniques including the Ravitch procedure, the Nuss procedure (minimally invasive repair of pectus excavatum), pectus implants and other rare procedures such as Pectus Up. For the majority of patients, supportive care is sufficient, but for a minority, a combination of the other techniques may be considered. This paper also outlines best practice guidance for the delivery of such therapies, including standardized assessment, consent to treatment, audit, quality assurance and long-term support. All the interventions have risks and benefits that the patient, parents and clinicians need to carefully consider and discuss when deciding on the most appropriate course. We hope this evidence review of ‘Best Practice for Pectus’ will make a significant contribution to those considerations and help all involved, from patients to national policy makers, to deliver the best possible care.

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Efficacy and Safety of Taulinoplasty Compared with the Minimally Invasive Repair of Pectus Excavatum Approach to Correct Pectus Excavatum

Cited by 4 publications

References 26 publications

Case Report: Modified Taulinoplasty: a new technique for minimally invasive repair of pectus excavatum

Case Report: Modified Taulinoplasty: a new technique for minimally invasive repair of pectus excavatum

Case Report: Double Pectus Up in severe pectus excavatum, the new frontier of modified taulinoplasty

The pectus care guidelines: best practice consensus guidelines from the joint specialist societies SCTS/MF/CWIG/BOA/BAPS for the treatment of patients with pectus abnormalities

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