The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair
Objective To describe a new surgical technique to treat pectus excavatumutilizing low hardness solid silicone block that can be carved during the intraoperative period promoting a better aesthetic result.Methods Between May 1994 and February 2013, 34 male patients presentingpectus excavatum were sub...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000200186&lng=en&tlng=en |
| _version_ | 1818307420190932992 |
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| author | Jaime Anger Raphael Francisco Vesterman Alcalde Jose Ribas Milanez de Campos |
| author_facet | Jaime Anger Raphael Francisco Vesterman Alcalde Jose Ribas Milanez de Campos |
| author_sort | Jaime Anger |
| collection | DOAJ |
| description | Objective To describe a new surgical technique to treat pectus excavatumutilizing low hardness solid silicone block that can be carved during the intraoperative period promoting a better aesthetic result.Methods Between May 1994 and February 2013, 34 male patients presentingpectus excavatum were submitted to surgical repair with the use of low hardness solid silicone block, 10 to 30 Shore A. A block-shaped parallelepiped was used with height and base size coinciding with those of the bone defect. The block was carved intraoperatively according to the shape of the dissected space. The patients were followed for a minimum of 120 days postoperatively. The results and the complications were recorded.Results From the 34 patients operated on, 28 were primary surgeries and 6 were secondary treatment, using other surgical techniques, bone or implant procedures. Postoperative complications included two case of hematomas and eight of seromas. It was necessary to remove the implant in one patient due to pain, and review surgery was performed in another to check prothesis dimensions. Two patients were submitted to fat grafting to improve the chest wall contour. The result was considered satisfactory in 33 patients.Conclusion The procedure proved to be fast and effective. The results of carved silicone block were more effective for allowing a more refined contour as compared to custom made implants. |
| first_indexed | 2024-12-13T06:58:05Z |
| format | Article |
| id | doaj.art-95a10b7340b54a5ba66661c76da818c2 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-12-13T06:58:05Z |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-95a10b7340b54a5ba66661c76da818c22022-12-21T23:56:00ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638512218619010.1590/S1679-45082014AO2919S1679-45082014000200186The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repairJaime AngerRaphael Francisco Vesterman AlcaldeJose Ribas Milanez de CamposObjective To describe a new surgical technique to treat pectus excavatumutilizing low hardness solid silicone block that can be carved during the intraoperative period promoting a better aesthetic result.Methods Between May 1994 and February 2013, 34 male patients presentingpectus excavatum were submitted to surgical repair with the use of low hardness solid silicone block, 10 to 30 Shore A. A block-shaped parallelepiped was used with height and base size coinciding with those of the bone defect. The block was carved intraoperatively according to the shape of the dissected space. The patients were followed for a minimum of 120 days postoperatively. The results and the complications were recorded.Results From the 34 patients operated on, 28 were primary surgeries and 6 were secondary treatment, using other surgical techniques, bone or implant procedures. Postoperative complications included two case of hematomas and eight of seromas. It was necessary to remove the implant in one patient due to pain, and review surgery was performed in another to check prothesis dimensions. Two patients were submitted to fat grafting to improve the chest wall contour. The result was considered satisfactory in 33 patients.Conclusion The procedure proved to be fast and effective. The results of carved silicone block were more effective for allowing a more refined contour as compared to custom made implants.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000200186&lng=en&tlng=enTórax em funilPróteses e implantesSiliconesParede torácica/cirurgiaProcedimentos cirúrgicos torácicos/métodos |
| spellingShingle | Jaime Anger Raphael Francisco Vesterman Alcalde Jose Ribas Milanez de Campos The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair Einstein (São Paulo) Tórax em funil Próteses e implantes Silicones Parede torácica/cirurgia Procedimentos cirúrgicos torácicos/métodos |
| title | The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
| title_full | The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
| title_fullStr | The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
| title_full_unstemmed | The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
| title_short | The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
| title_sort | use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair |
| topic | Tórax em funil Próteses e implantes Silicones Parede torácica/cirurgia Procedimentos cirúrgicos torácicos/métodos |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082014000200186&lng=en&tlng=en |
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