Crane-powered pectus excavatum repair: the NeoPectus surgery
IntroductionThe conventional technique for pectus excavatum repair was pushing up the depressed chest wall by turning over the convexity of the bent pectus bar. We developed a new concept in which a total crane lift was used as the source of power to elevate the depressed sternum without using pectu...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1267009/full |
| _version_ | 1797385998690156544 |
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| author | Hyung Joo Park Gongmin Rim Seung Keun Yoon |
| author_facet | Hyung Joo Park Gongmin Rim Seung Keun Yoon |
| author_sort | Hyung Joo Park |
| collection | DOAJ |
| description | IntroductionThe conventional technique for pectus excavatum repair was pushing up the depressed chest wall by turning over the convexity of the bent pectus bar. We developed a new concept in which a total crane lift was used as the source of power to elevate the depressed sternum without using pectus bar leverage. This study aims to verify the efficacy of exclusively crane-powered pectus excavatum repair in recent years.MethodsAmong the 3622 pectus deformity repairs since 1999, 691 cases repaired with the total crane power between 2017 and 2022 were enrolled. The mean age was 12.0 years (3–45). The operative technique involved wire/screw crane elevation of the sternum, the entire chest wall remodeling with the cross or parallel bars, the bridge/claw bar fixations, and other adjunctive techniques. Outcome analysis included morphological variations, patterns of pectus bar placement, and complication rates.ResultsThe crane technique and pectoscopy (100%) were used. The bar placements were parallel (22.0%) and cross-bar (47.5%). The bar fixations were the claw fixators for a single bar (30.5%) and the bridge plates for multiple bars (69.5%). The flare-buster and magic strings were liberally used. No serious complications or catastrophic events occurred, but minor complications occurred in 16.9%: pneumothorax in 7.4% (51), pleural effusion in 1.6% (11), and wound problems in 0.4% (3). There was no case of bar displacement.DiscussionThe crane-powered pectus excavatum repair showed excellent results with minimal complications and no bar displacement. This innovative approach, part of the NeoPectus surgery, represents a significant advancement in correcting pectus excavatum deformities by utilizing a crane machine to elevate the chest wall. |
| first_indexed | 2024-03-08T22:02:31Z |
| format | Article |
| id | doaj.art-c72e5c93f48848369273d6e3e54df7ce |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-08T22:02:31Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-c72e5c93f48848369273d6e3e54df7ce2023-12-19T11:05:14ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-12-011010.3389/fsurg.2023.12670091267009Crane-powered pectus excavatum repair: the NeoPectus surgeryHyung Joo Park0Gongmin Rim1Seung Keun Yoon2Department of Cardiothoracic Surgery, Nanoori Hospital, Seoul, Republic of KoreaDepartment of Cardiothoracic Surgery, Nanoori Hospital, Seoul, Republic of KoreaDepartment of Cardiothoracic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of KoreaIntroductionThe conventional technique for pectus excavatum repair was pushing up the depressed chest wall by turning over the convexity of the bent pectus bar. We developed a new concept in which a total crane lift was used as the source of power to elevate the depressed sternum without using pectus bar leverage. This study aims to verify the efficacy of exclusively crane-powered pectus excavatum repair in recent years.MethodsAmong the 3622 pectus deformity repairs since 1999, 691 cases repaired with the total crane power between 2017 and 2022 were enrolled. The mean age was 12.0 years (3–45). The operative technique involved wire/screw crane elevation of the sternum, the entire chest wall remodeling with the cross or parallel bars, the bridge/claw bar fixations, and other adjunctive techniques. Outcome analysis included morphological variations, patterns of pectus bar placement, and complication rates.ResultsThe crane technique and pectoscopy (100%) were used. The bar placements were parallel (22.0%) and cross-bar (47.5%). The bar fixations were the claw fixators for a single bar (30.5%) and the bridge plates for multiple bars (69.5%). The flare-buster and magic strings were liberally used. No serious complications or catastrophic events occurred, but minor complications occurred in 16.9%: pneumothorax in 7.4% (51), pleural effusion in 1.6% (11), and wound problems in 0.4% (3). There was no case of bar displacement.DiscussionThe crane-powered pectus excavatum repair showed excellent results with minimal complications and no bar displacement. This innovative approach, part of the NeoPectus surgery, represents a significant advancement in correcting pectus excavatum deformities by utilizing a crane machine to elevate the chest wall.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1267009/fullpectus excavatumcranecrane-powered approachsternal screwsternal pre-lifting |
| spellingShingle | Hyung Joo Park Gongmin Rim Seung Keun Yoon Crane-powered pectus excavatum repair: the NeoPectus surgery Frontiers in Surgery pectus excavatum crane crane-powered approach sternal screw sternal pre-lifting |
| title | Crane-powered pectus excavatum repair: the NeoPectus surgery |
| title_full | Crane-powered pectus excavatum repair: the NeoPectus surgery |
| title_fullStr | Crane-powered pectus excavatum repair: the NeoPectus surgery |
| title_full_unstemmed | Crane-powered pectus excavatum repair: the NeoPectus surgery |
| title_short | Crane-powered pectus excavatum repair: the NeoPectus surgery |
| title_sort | crane powered pectus excavatum repair the neopectus surgery |
| topic | pectus excavatum crane crane-powered approach sternal screw sternal pre-lifting |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1267009/full |
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