Rare complications after thoracoplasty in children with congenital pectus excavatum

In this study we presented 4 rare postoperative complications at children after 202 cases of thoracoplasty concerning pectus excavatum deformity of the thorax in the period between 2002 and 2014. The operations were performed by the method proposed by D. Nuss. We revealed following complications: fr...

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Main Authors: V. N. Stalmakhovich, A. A. Dyukov, A. P. Dmitrienko, V. V. Dudenkov
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2015-05-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/63
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author V. N. Stalmakhovich
A. A. Dyukov
A. P. Dmitrienko
V. V. Dudenkov
author_facet V. N. Stalmakhovich
A. A. Dyukov
A. P. Dmitrienko
V. V. Dudenkov
author_sort V. N. Stalmakhovich
collection DOAJ
description In this study we presented 4 rare postoperative complications at children after 202 cases of thoracoplasty concerning pectus excavatum deformity of the thorax in the period between 2002 and 2014. The operations were performed by the method proposed by D. Nuss. We revealed following complications: fracture of a body of sternum in the field of its joint with the handle in 1,5 months after operation; massive hemorrhage in a cavity of the fibrous capsule created around a metalwork in 2 years after performance of the thoracoplasty; incarceration of a portion of the latissimus dorsi muscle under "shoulder" of metal construction in 1,5 years after operation; violation of venous outflow at the level of a subclavian vein and a partial compression of a subclavial vein in the early postoperative period. We analyzed possible reasons, clinical symptoms, diagnostics, methods of treatment and offered methods of prevention of these complications.
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spelling doaj.art-1ad14833a4994bda8262f7fdb17784a42024-03-28T07:49:14ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962015-05-0103182063Rare complications after thoracoplasty in children with congenital pectus excavatumV. N. Stalmakhovich0A. A. Dyukov1A. P. Dmitrienko2V. V. Dudenkov3rkutsk State Medical Academy of Continuing EducationIrkutsk State Regional Children’s Clinical HospitalIrkutsk State Regional Children’s Clinical HospitalAngarsk Municipal Children’s Hospital NIn this study we presented 4 rare postoperative complications at children after 202 cases of thoracoplasty concerning pectus excavatum deformity of the thorax in the period between 2002 and 2014. The operations were performed by the method proposed by D. Nuss. We revealed following complications: fracture of a body of sternum in the field of its joint with the handle in 1,5 months after operation; massive hemorrhage in a cavity of the fibrous capsule created around a metalwork in 2 years after performance of the thoracoplasty; incarceration of a portion of the latissimus dorsi muscle under "shoulder" of metal construction in 1,5 years after operation; violation of venous outflow at the level of a subclavian vein and a partial compression of a subclavial vein in the early postoperative period. We analyzed possible reasons, clinical symptoms, diagnostics, methods of treatment and offered methods of prevention of these complications.https://www.actabiomedica.ru/jour/article/view/63pectus excavatumcomplications
spellingShingle V. N. Stalmakhovich
A. A. Dyukov
A. P. Dmitrienko
V. V. Dudenkov
Rare complications after thoracoplasty in children with congenital pectus excavatum
Acta Biomedica Scientifica
pectus excavatum
complications
title Rare complications after thoracoplasty in children with congenital pectus excavatum
title_full Rare complications after thoracoplasty in children with congenital pectus excavatum
title_fullStr Rare complications after thoracoplasty in children with congenital pectus excavatum
title_full_unstemmed Rare complications after thoracoplasty in children with congenital pectus excavatum
title_short Rare complications after thoracoplasty in children with congenital pectus excavatum
title_sort rare complications after thoracoplasty in children with congenital pectus excavatum
topic pectus excavatum
complications
url https://www.actabiomedica.ru/jour/article/view/63
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AT vvdudenkov rarecomplicationsafterthoracoplastyinchildrenwithcongenitalpectusexcavatum