Surgical Treatment of Recurrent Pectus Excavatum
10.3969/j.issn.1009-6604.2018.06.005
- VernacularTitle:复发性漏斗胸的外科治疗
- Author:
Jian YANG
1
;
Lifei MENG
;
Haibo XIAO
Author Information
1. 上海交通大学医学院附属新华医院心胸外科
- Keywords:
Recurrent pectus excavatum;
Nuss operation;
Ravitch operation
- From:
Chinese Journal of Minimally Invasive Surgery
2018;18(6):497-500
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the preliminary experience of surgical treatment of recurrent pectus excavatum. Methods A total of 23 cases of recurrent pectus excavatum treated in our hospital from January 2012 to December 2014 were reviewed retrospectively. Of the 23 cases, the Nuss method was employed in 15 cases, the modified Nuss method in 6 cases, the Nuss operation and osteotomy in 1 case, and the Ravitch operation in 1 case. Results The surgery was successfully completed in all the 23 patients, without serious complications. The intraoperative blood loss was 10-150 ml (median, 20 ml). The postoperative hospital stay was 4-15 days (mean, 7. 1 days). After operation, 2 cases had more drainage, which were given active thoracic drainage and nutrition. The 23 patients were given removal of steel plate at 2 years after operation, and no recurrence was seen. Conclusions The Nuss operation can be used as the first choice for patients with pectus excavatum repair failure. For patients with recurrence of severe deformity of pectus excavatum, the first choice should be the Ravitch operation.
