scholarly journals Simultaneous repair of cardiac pathology and severe pectus excavatum in Marfan patients using a modified minimally invasive repair

2011 ◽  
Vol 1 (1) ◽  
pp. 3 ◽  
Author(s):  
Dawn E. Jaroszewski ◽  
Jason D. Fraser ◽  
Patrick A. DeValeria
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Chest Wall ◽  
Preliminary Report ◽  
Pectus Excavatum ◽  
Chest Wall Deformity ◽  
Cardiac Pathology ◽  
Cosmetic Results ◽  
Good Cosmetic ◽  
Valve Pathology

Pectus excavatum (PE) deformity is present in the majority of Marfan patients. Many have not had PE repair and present as adults with aortic and valve pathology requiring operative intervention. We present our preliminary report of simultaneous cardiac surgery and repair of the chest wall deformity. Utilizing this modified minimally invasive excavatum repair provided quick, safe repairs with good cosmetic results.

scholarly journals How to assess chest wall deformity in children with pectus excavatum - evaluation of the agreement among methods

2019 ◽  
pp. 71-71
Author(s):  
Marko Kostic ◽  
Aleksandar Sretenovic ◽  
Milan Savic ◽  
Marko Popovic ◽  
Sanja Kostic ◽  
...  
Keyword(s):  
Chest Wall ◽  
Pectus Excavatum ◽  
Chest Wall Deformity

Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate?

2018 ◽  
Vol 28 (04) ◽  
pp. 347-354 ◽  
Author(s):  
Sherif Emil
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Correction ◽  
Diagnosis And Treatment ◽  
Pectus Carinatum ◽  
The Past ◽  
Minimally Invasive Surgical

AbstractPectus carinatum has traditionally been described as a rare chest wall anomaly in comparison to pectus excavatum. However, recent data from chest wall anomaly clinics demonstrate that this deformity is probably much more frequent than once believed. In the past, invasive surgical correction by the Ravitch technique was essentially the only option for treatment of pectus carinatum. Major advances over the past two decades have provided additional options, including noninvasive chest wall bracing and minimally invasive surgical correction. This article will discuss current options for the treatment of pectus carinatum, and some of the factors that should be taken into account when choosing the options available. Diagnosis and treatment of the pectus arcuatum variant will also be described.

scholarly journals Patient body image, self-esteem, and cosmetic results of minimally invasive robotic cardiac surgery

2017 ◽  
Vol 39 ◽  
pp. 88-94 ◽  
Author(s):  
Taner İyigün ◽  
Mehmet Kaya ◽  
Sevil Özgül Gülbeyaz ◽  
Nurhan Fıstıkçı ◽  
Gözde Uyanık ◽  
...  
Keyword(s):  
Body Image ◽  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Self Esteem ◽  
Cosmetic Results ◽  
Robotic Cardiac Surgery

scholarly journals Minimally invasive correction of asymmetric chest deformity in children

2021 ◽  
Vol 25 (1) ◽  
pp. 44-50
Author(s):  
A.A.I. El'nour ◽  
A. Yu. Razumovskiy
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Chest Wall ◽  
Deformity Correction ◽  
Length Of Hospital Stay ◽  
Surgical Correction ◽  
Chest Wall Deformity ◽  
Rehabilitation Process ◽  
Chest Deformity

Purpose. To analyze literature data and to find out optimal techniques for surgical correction of asymmetrical chest wall deformity in children.Material and methods. The researchers studied data on surgical treatment of children with asymmetrical chest wall deformity who had thoracoplasty performed with well-known techniques developed by Bairov, Timoshchenko, Paltia, Ravitch, Kondrashin which included the resection of crooked cartilage and internal metal fixation with consideration of deformity shape, location and severity. For comparison, the authors analyzed the data on the minimally invasive Nuss technique and its modifications.Results. The researchers found that thoracoplasty by the Bairov method is less effective which gives the largest number of postoperative complications (16.5%) in the form of hemothorax, pneumothorax and hydrothorax what significantly increased the length of hospital stay and the following rehabilitation process. On the contrary, minimally invasive interventions were the most effective, if to compare with all applied techniques for chest wall deformity correction, having a low percentage of complications; though their drawback is long-term postoperative analgesia.Conclusion. At present, there is no any consensus on the top-priority technique for surgical correction of chest wall deformity in children. It necessitates further research in this direction as well as improvement of the existing techniques and development of new ones.

Pectus Excavatum Repair

2013 ◽  
Author(s):  
David L Moore ◽  
Kenneth R Goldschneider
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Repair ◽  
Minimally Invasive Technique ◽  
Common Method ◽  
Invasive Technique ◽  
Patients Experience ◽  
Over Time

Pectus excavatum is a defect in the proper growth of the sternum and adjacent costal cartilages, causing posterior depression of the chest. Pectus deformities account for more than 90% of congenital chest wall deformities. Evidence supports surgical repair, as many patients experience progressive cardiopulmonary symptoms over time. The most common symptoms include dyspnea with exercise and loss of endurance. An increasingly common method of repair is the Nuss minimally invasive technique, in which rigid bars are placed under the sternum and the costal cartilages with thoracoscopic guidance for a period of time until permanent remodeling of the chest is achieved.

scholarly journals F-031EVALUATION OF CHEST WALL MORPHOLOGY BY CHEST COMPUTER TOMOGRAPHY AFTER MINIMALLY INVASIVE REPAIR OF PECTUS EXCAVATUM

2016 ◽  
Vol 23 (suppl 1) ◽  
pp. i9.3-i9
Author(s):  
Samina Park ◽  
E.R. Kim ◽  
Y. Hwang ◽  
H.J. Lee ◽  
I.K. Park ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Computer Tomography ◽  
Pectus Excavatum

PECTUS EXCAVATUM: A CASE REPORT OF AN EARLY REPAIR

2021 ◽  
pp. 51-52
Author(s):  
Priyadarshan Konar ◽  
Subhendu Mahapatra ◽  
Jayita Chakrabarti ◽  
Gautam Sengupta
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Anterior Chest Wall ◽  
Chest Wall Deformity ◽  
Case Presentation ◽  
X Ray ◽  
Abnormal Chest ◽  
Great Vessels ◽  
Chest X Ray

Introduction: Pectus Excavatum usually recognized during infancy and become worse with growing ages. Case presentation: We presented a 6 months old male child to our departmental OPD with complaints of indrawing of anterior chest wall. On physical examination revealed a signicant Pectus Excavatum deformity. There was no other abnormality except the chest wall deformity. An abnormal chest X-ray and CT scan demonstrated leftward displacement of heart and great vessels. Conclusion: Surgery for Pectus Excavatum is specialized and can be done in early childhood with better outcome.

scholarly journals Combined transconjunctival–eyebrow approach providing minimally invasive access to all orbital quadrants

2007 ◽  
Vol 23 (5) ◽  
pp. E10 ◽  
Author(s):  
Andrei Koerbel ◽  
Veralucia R. Ferreira ◽  
André Kiss
Keyword(s):  
Minimally Invasive ◽  
Surgical Approaches ◽  
Cosmetic Results ◽  
Transconjunctival Approach ◽  
Good Cosmetic ◽  
Minimal Damage ◽  
Eyebrow Incision ◽  
Orbital Space ◽  
Minimally Invasive Access ◽  
Functional Preservation

✓Surgical approaches to treat orbital disease should provide a good exposure of intraorbital anatomical structures, allow their functional preservation, and provide good cosmetic results. The authors describe a minimally invasive, combined transconjunctival–eyebrow approach to all orbital quadrants in a step-wise manner. The indications, advantages, and limitations of the technique are highlighted. A transconjunctival approach via the postseptal area is described. It allows exposure of the medial, inferior, and lateral parts of the orbit. Depending on the orbital space to be exposed, a lateral or a medial eyebrow incision is then made. The eyebrow and the conjunctival incisions are connected by subperiosteal dissection. This combined access provides exposure to all intraconal muscles and to the superior, medial, lateral, and inferior portions of the optic nerve. The combined transconjunctival–eyebrow approach provides an excellent orbital exposure, with minimal damage to the circumjacent structures. It requires less operative time than other approaches and yields good cosmetic results. Intracranial or intrafacial tumor extension and tumors located purely in the orbital apex are limitations for the use of this technique.

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