Outcomes of the Nuss procedure for pectus excavatum in adults

Sakamoto, Yoshiaki; Yokoyama, Yoichi; Nagasao, Tomohisa; Yamada, Yoshitake; Yamada, Minoru; Jinzaki, Masahiro; Kishi, Kazuo

doi:10.1016/j.bjps.2020.12.068

Cited by 8 publications

(10 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, the depression deformities are the same. For typical pectus excavatum, minimally invasive surgery, such as Nuss procedure [8] , Wung procedure [12] and Wang procedure [6,7] , can achieve satisfactory results. However, some other depression deformities cannot be treated by these simple procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Since the operation is completed under direct vision, the same principles and methods can be used to correct all types of depresion deformities, and it is not necessary to further subdivide each type of depression deformities. However, with the introduction of the concept of minimally invasive surgery, especially after the Nuss procedure became the gold standard for the treatment of pectus excavatum [8] , it is necessary to further classify the depression deformities because some special cases cannot be treated by this procedure. Our department is an independent chest wall surgery department.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Groove chest: An independent thoracic deformity

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Surg. Sci.

View full text Add to dashboard Cite

Thoracic deformity can be roughly divided into two categories, one is depression deformity the other is protrusion deformity. In general, depression deformity is called pectus excavatum. In the era of open surgery, there is no big problem with this nomenclature. However, in the era of minimally invasive surgery, because the general minimally invasive surgery cannot be used to treat some depression deformities, it is necessary to further classify these deformities. After a long time observations, we found that there was a type of deformity with distinct characteristics, which was the transverse groove in the anterior chest wall, and was significantly different from the hollow of the typical pectus excavatum. This deformity cannot be corrected with standard Nuss procedure. In order to better understand and treat this special deformity, we named it groove chest. We also made a special design for its operation, and finally designed an effective surgical method. Our experience shows that the surgery we designed is an effective technique, which also proves the necessity of treating groove chest as an independent deformity.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Groove chest: An independent thoracic deformity

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Surg. Sci.

View full text Add to dashboard Cite

show abstract

“…We used steel bar to support the depressions (Fig. 3C) [7,8] . Because it could eliminate the depressions and ensure the good effect of median thoracic expansion simultaneously, we regarded that this was a reasonable method [8] .…”

Section: Discussionmentioning

confidence: 99%

“…An arc-shaped steel bar was inserted into the thorax and passed through the mediastinum, and then was turned over to prop up the depressions (Fig. 2A), thus an additional Nuss procedure was completed [7,8] . After all the bars were firmly fixed, the incisions were closed, and the total operation was completed (Fig.…”

Section: Case Reportmentioning

confidence: 99%

Surgical treatment of asphyxiating thoracic dystrophy with median thoracic expansion and Nuss procedure

Wang¹

2022

Int. J. Surg. Sci.

View full text Add to dashboard Cite

Asphyxiating thoracic dystropy can be divided into two types: type I is cylindrical with slight depressions on chest wall, and type II is non-cylindrical with serious depressions on the chest wall. The nature of the depressions determines the choice of operation. For type I patients, the relatively reasonable operation is median thoracic expansion. However, due to the existence of depressions, the effect is not ideal. In order to eliminate the effect of depression, we designed a operation with an additional Nuss procedure to median thoracic expansion. We applied this operation to a 3-year-old patient and achieved good results.

show abstract

“…Pectus excavatum is a common thoracic deformity, which may cause physical and psychological harm to patients, so it generally needs surgical treatment [1] . At present, the popular surgical method is Nuss procedure, which has many advantages but also disadvantages [2] . In order to eliminate the disadvantages, some improved methods have been used in clinic [3] .…”

Section: Introductionmentioning

confidence: 99%

Application of preshaping technique in Wung procedure of severe asymmetric pectus excavatum

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Case Rep. Surg.

View full text Add to dashboard Cite

Severe asymmetric pectus excavatum surgery is a technique challenging operation, and it is difficult to obtain good results using general Nuss procedure. In order to ensure the success of the operation, we used a special technique for correction, which is the Wung procedure we designed. Due to the serious deformity, it is very difficult to correct directly. In order to reduce the difficulty, we use a special preshaping technique in our operation, which can fully soften the bony structures of the chest wall in the depression and lay a foundation for the following operation. In addition to this technique, we also made a special design for the position of the steel bars, so as to ensure the final orthopedic effect. This paper reports the application of this technique in a case of severe asymmetric pectus excavatum.

show abstract

Outcomes of the Nuss procedure for pectus excavatum in adults

Cited by 8 publications

References 13 publications

Groove chest: An independent thoracic deformity

Groove chest: An independent thoracic deformity

Surgical treatment of asphyxiating thoracic dystrophy with median thoracic expansion and Nuss procedure

Application of preshaping technique in Wung procedure of severe asymmetric pectus excavatum

Contact Info

Product

Resources

About