ArticleJournal of thoracic disease2022
Minimally invasive repair of pectus carinatum with a new steel bar.
Article in Journal of thoracic disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Sternal compression before bar placement: Enhancing cosmetic outcomes and facilitating minimally invasive correction of pectus carinatum.JTCVS techniques · 2024Article
- Compression brace for secondary pectus carinatum in infants and toddlers undergoing cardiac surgery with midline sternotomy.General thoracic and cardiovascular surgery · 2024Article
- Evaluation of Thoracic Morphological Changes Using Chest CT in Patients with Congenital Pectus Carinatum Treated by the Modified Abramson Technique.Materia socio-medica · 2024Article
- The new steel bar in pectus carinatum repair and a review of current methods of correcting chest deformations.Journal of thoracic disease · 2022Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Currently, the anti-Nuss operation is widely used as standard surgery for pectus carinatum, but the installation and removal of the Nuss steel bars can be difficult, time-consuming and traumatic. To further simplify the procedure, we designed a new steel bar to facilitate minimally invasive surgical correction of pectus carinatum. Methods: From January 2018 to July 2021, 112 patients underwent minimally invasive repair of pectus carinatum (MIRPC) with the new steel bar in our centre. Two generations of bars were designed during our study period, and symmetric and asymmetric deformities were treated. After 2 years of follow-up, the bar and stabilizers were removed. The effects and complications of minimally invasive repair using the new bar to correct pectus carinatum were reviewed. Results: The mean patient age was 14.46 years. The mean operation duration was 67.74 minutes. The mean hospital length of stay was 3.64 days. The Haller index of the patients improved from 1.96 preoperatively to 2.78 postoperatively. The complications included pneumothorax, pleural effusion, wound infections, nickel allergy, screw loosening, wire breakdown, bar fraction and overcorrection leading to excavatum. Seventy-two patients (64.3%) underwent bar removal, with 63 patients (87.5%) achieving excellent or good results. The deformity recurred in 2 patients (2.8%) during follow-up. Conclusions: MIRPC with our newly designed steel bar can achieve good results and is effective in repairing both symmetric and asymmetric carinatum deformities.
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