Surgical Management of Pectus Excavatum with Using Pectus Bar.
- Author:
Jung Joo HWANG
1
;
Hwa Kyun SHIN
;
Do Hyung KIM
;
Doo Yun LEE
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Respiratory Center, Yongdong Severance Hospital, Yonsei University College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Pectus excavatum;
Funnel chest;
Surgery method
- MeSH:
Adult;
Cartilage;
Congenital Abnormalities;
Female;
Fungi;
Funnel Chest*;
Hemothorax;
Humans;
Length of Stay;
Male;
Muscles;
Patients' Rooms;
Pleural Effusion;
Postoperative Complications;
Retrospective Studies;
Skin;
Stainless Steel;
Thoracic Wall
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(2):167-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Pectus excavatum is the most common deformity of anterior chest wall. Since the first surgical correction performed by Meyer et al. in 1911, various operative techniques have been developed. These methods, however, needed a large skin incision on the anterior chest wall and wide excision of costal cartilages. Nuss et al. has introduced a less invasive method of inserting a molded stainless steel bar through the small incisions on the lateral chest wall in young patients. MATERIAL AND METHOD: This retrospective analysis was performed on 14 cases of pectus excavatum corrected between Nov. 1999 and July 2000. The correction under 15 of age was done using one bar. Above 16 of age, we used two bars. RESULT: There were 11 male and 3 female patients with ranging 2 years to 52 years. The pectus index was 5.3+/-1.84 and asymmetric index was 1.06+/-0.03. They were transferred to general ward at the next day of operation. Mean hospital stays were 4.2 days. The postoperative complications were pneumonthorax in one, hemothorax in one and delayed pleural effusion in one and all complications were among adults. CONCLUSION: We have corrected the pectus excavatum successfully using Nuss' method. In adults, the deformed walls were corrected with two bars but complications were higher than younger patients because of fully developed muscles and bones.
