Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy

Background: We used an Abramson technique for minimally invasive repair of pectus carinatum in patients who preferred surgery to brace therapy, had been unsuccessfully treated via brace therapy, or were unsuitable for brace therapy because of a rigid chest wall. Methods: Between July 2011 and May...

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Main Authors: Jee-Won Suh, Seok Joo, Geun Dong Lee, Seok Jin Haam, Sungsoo Lee
Format: Article
Language:English
Published: Korean Society for Thoracic and Cardiovascular Surgery 2016-04-01
Series:Korean Journal of Thoracic and Cardiovascular Surgery
Subjects:
Online Access:http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.2.92
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author Jee-Won Suh
Seok Joo
Geun Dong Lee
Seok Jin Haam
Sungsoo Lee
author_facet Jee-Won Suh
Seok Joo
Geun Dong Lee
Seok Jin Haam
Sungsoo Lee
author_sort Jee-Won Suh
collection DOAJ
description Background: We used an Abramson technique for minimally invasive repair of pectus carinatum in patients who preferred surgery to brace therapy, had been unsuccessfully treated via brace therapy, or were unsuitable for brace therapy because of a rigid chest wall. Methods: Between July 2011 and May 2015, 16 patients with pectus carinatum underwent minimally invasive surgery. Results: The mean age of the patients was 24.35±13.20 years (range, 14–57 years), and all patients were male. The percentage of excellent aesthetic results, as rated by the patients, was 37.5%, and the percentage of good results was 56.25%. The preoperative and postoperative Haller Index values were 2.01±0.19 (range, 1.60–2.31), and 2.22±0.19 (range, 1.87–2.50), respectively (p-value=0.01), and the median hospital stay was 7.09±2.91 days (range, 5–15 days). Only one patient experienced postoperative complications. Conclusion: Minimally invasive repair is effective for the treatment of pectus carinatum, even in adult patients.
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spelling doaj.art-71b1ba5e550641058f054dc34d7624aa2022-12-22T01:13:38ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162016-04-01492929810.5090/kjtcs.2016.49.2.92Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing TherapyJee-Won Suh0Seok Joo1Geun Dong Lee2Seok Jin Haam3Sungsoo Lee4Gangnam Severance HospitalGangnam Severance HospitalGangnam Severance HospitalGangnam Severance HospitalGangnam Severance HospitalBackground: We used an Abramson technique for minimally invasive repair of pectus carinatum in patients who preferred surgery to brace therapy, had been unsuccessfully treated via brace therapy, or were unsuitable for brace therapy because of a rigid chest wall. Methods: Between July 2011 and May 2015, 16 patients with pectus carinatum underwent minimally invasive surgery. Results: The mean age of the patients was 24.35±13.20 years (range, 14–57 years), and all patients were male. The percentage of excellent aesthetic results, as rated by the patients, was 37.5%, and the percentage of good results was 56.25%. The preoperative and postoperative Haller Index values were 2.01±0.19 (range, 1.60–2.31), and 2.22±0.19 (range, 1.87–2.50), respectively (p-value=0.01), and the median hospital stay was 7.09±2.91 days (range, 5–15 days). Only one patient experienced postoperative complications. Conclusion: Minimally invasive repair is effective for the treatment of pectus carinatum, even in adult patients.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.2.92Minimally invasive surgeryPectus carinatumAdultChest wall deformityNuss operation
spellingShingle Jee-Won Suh
Seok Joo
Geun Dong Lee
Seok Jin Haam
Sungsoo Lee
Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy
Korean Journal of Thoracic and Cardiovascular Surgery
Minimally invasive surgery
Pectus carinatum
Adult
Chest wall deformity
Nuss operation
title Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy
title_full Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy
title_fullStr Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy
title_full_unstemmed Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy
title_short Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy
title_sort minimally invasive repair of pectus carinatum in patients unsuited to bracing therapy
topic Minimally invasive surgery
Pectus carinatum
Adult
Chest wall deformity
Nuss operation
url http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.2.92
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