Minimally Invasive Repair of Pectus Carinatum in Patients Unsuited to Bracing Therapy.
10.5090/kjtcs.2016.49.2.92
- Author:
Jee Won SUH
1
;
Seok JOO
;
Geun Dong LEE
;
Seok Jin HAAM
;
Sungsoo LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Korea. CHESTLEE@yuhs.ac
- Publication Type:Original Article
- Keywords:
Minimally invasive surgery;
Pectus carinatum;
Adult;
Chest wall deformity;
Nuss operation
- MeSH:
Adult;
Braces*;
Humans;
Length of Stay;
Male;
Postoperative Complications;
Surgical Procedures, Minimally Invasive;
Thoracic Wall
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(2):92-98
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
