Minimally Invasive Repair of Pectus Carinatum: Bar Number and Technique

Wang, Wenlin; Chen, Chunmei

doi:10.1016/j.athoracsur.2018.04.041

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…The aim of the operation is to make the SBS patient's anterior chest wall convex. In theory, minimally invasive treatment is ideal, but at present, all mature minimally invasive operations are performed on deformed structures (10)(11)(12). The anterior chest wall structure of SBS patients is completely normal, and there is no deformity.…”

Section: Discussionmentioning

confidence: 99%

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Chest wall reconstruction with digitally designed materials for straight back syndrome with tracheal stenosis: a case report

Liu¹,

Wang²,

Long³

et al. 2021

Ann Transl Med

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Severe symptoms of straight back syndrome (SBS) occur through compression of the mediastinal structures. The treatment is to relieve compression, but surgical relief has not been reported. A 29-year-old woman was admitted to hospital because of dyspnea for 2 years. Physical examination showed the physiological curvature of the spine had disappeared and imaging examination confirmed that the spine was straight, the distance between the spine and the anterior chest wall was shortened, and the lower part of the trachea was obviously compressed with a severe stenosis. The chest wall was simulated by 3D technology, and a model was obtained by 3D printing. The surgical resection was simulated on the model, and the required replacement material was digitally designed and processed. The upper half of the sternum, the first and second costal cartilages, and the thymus were excised. After the chest wall defect was repaired with the digital material, the ascending aorta was suspended on the reconstruction to relieve the tracheal compression. The operation was completed in 135 min without any complications. All symptoms disappeared after operation.Postoperative imaging examination showed complete resolution of the tracheal stenosis. The patient was discharged 10 days after operation. Surgical reconstruction of the anterior chest wall is a good method for treating tracheal stenosis in SBS, and digitally produced material is ideal for the reconstruction.

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Section: Discussionmentioning

confidence: 99%

“…The anterior chest wall structure of SBS patients is completely normal, and there is no deformity. In order to expand chest wall forward, the popular minimally invasive procedures are ineffective (10)(11)(12). Therefore, to achieve the purpose of treatment, we have to do a reconstruction; that is, open surgery.…”

Section: Discussionmentioning

confidence: 99%

Chest wall reconstruction with digitally designed materials for straight back syndrome with tracheal stenosis: a case report

Liu¹,

Wang²,

Long³

et al. 2021

Ann Transl Med

Self Cite

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show abstract

“…10,11 Also the MIRPC procedure performed by experienced surgeons provides excellent results, but side effects and complications have to be noticed. [12][13][14][15] In many cases of CWD patients, the degree of pectus deformity does not immediately warrant surgery, yet patients may benefit from some type of nonsurgical treatment. Other patients are reluctant to undergo surgery because of the pain associated with postoperative recovery and the risk of imperfect results.…”

Section: Introductionmentioning

confidence: 99%

Nonsurgical Treatment of Chest Wall Deformities: Contradiction or Complement?

Häcker

2018

Eur J Pediatr Surg

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For decades, open surgical repair was the only available method to treat congenital and acquired chest wall deformities (CWDs). In 1998, D. Nuss described a minimally invasive procedure for surgical repair of pectus excavatum (PE), and a few years later H. Abramson reported on his experience with the "reversed Nuss technique" for surgical repair of pectus carinatum (PC). Both procedures are performed with increasing frequency worldwide.However, nonsurgical measures such as vacuum bell (VB) therapy for conservative treatment of PE and more differentiated bracing systems for conservative treatment of PC were established 15 to 20 years ago. Nowadays, information on new therapeutic modalities circulates not only among surgeons and pediatricians, but also rapidly among patients. In particular, patients who refused operative treatment by previously available procedures now appear at the outpatient clinic and request to be considered for the new methods.Analyzing the increasing number of studies reporting on conservative treatment of CWDs as well as our own group of patients who visited a busy outpatient clinic in a small country within the last 15 to 20 years, we have to realize that the majority of patients asked for nonsurgical treatment of their CWD. Based on these experiences and results, we have to realize that nonsurgical treatment of CWD is no contradiction but a helpful complement to treat congenital and acquired CWDs and may be applied for the majority of patients suffering from a CWD.

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Comparison of Outcomes Between Anti-Nuss Operation and Modified Anti-Nuss Operation Using a Flexible Plate for Correcting Pectus Carinatum: A Retrospective Study

Wang

Liu²,

Shen

et al. 2021

Front. Surg.

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Introduction: The anti-Nuss procedure has gradually been found to have several shortcomings in clinical practice. Accordingly, our department previously designed and introduced a new steel plate. However, there is limited evidence regarding its safety and efficacy. Thus, we aim to compare the efficacy and safety of the conventional anti-Nuss operation with those of a modified anti-Nuss operation using a flexible plate.Methods: Patients with pectus carinatum who underwent surgery between January 2014 and August 2019 were consecutively enrolled in this single-center, retrospective study. In all, 53 patients underwent the modified procedure using the new steel plate (new procedure group), whereas 43 underwent the conventional anti-Nuss procedure (traditional procedure group). Outcome analysis was performed using SPSS to compare the intraoperative and postoperative short-term outcomes.Results: All patients in the new procedure group had shorter operation duration (75.23 ± 11.90 vs. 82.45 ± 9.30 min, p = 0.008), postoperative hospitalizations (3.42 ± 0.95 vs. 4.64 ± 1.53 days, p = 0.039), and plate removal surgery durations (40.60 ± 3.47 vs. 60.30 ± 9.75 min, p = 0.041) than patients in the traditional procedure group. There were no significant differences in the length of incision, postoperative Haller index, cost, postoperative surgical outcome, and incidence of complications between the two groups.Conclusion: Our data reveal that the main clinical outcomes were similar for after anti-Nuss operation and modified anti-Nuss operation. However, the modified procedure for pectus carinatum had a shorter operation duration, postoperative hospitalization, and plate removal surgery duration.

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Minimally Invasive Repair of Pectus Carinatum: Bar Number and Technique

Cited by 3 publications

References 4 publications

Chest wall reconstruction with digitally designed materials for straight back syndrome with tracheal stenosis: a case report

Chest wall reconstruction with digitally designed materials for straight back syndrome with tracheal stenosis: a case report

Nonsurgical Treatment of Chest Wall Deformities: Contradiction or Complement?

Comparison of Outcomes Between Anti-Nuss Operation and Modified Anti-Nuss Operation Using a Flexible Plate for Correcting Pectus Carinatum: A Retrospective Study

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