Journals / Interdisciplinary Medical Journal / 2021 / Cilt: 12 - Sayı: 42

Minimally Invasive Pectus Excavatum Surgery: A Single Center Experience

Minimal İnvaziv Pektus Ekskavatum Ameliyatı: Tek Merkez Deneyimi

Pages
18–22
Publication Date
2021-04-15
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Keywords: Pectus excavatum, Nuss Operation, Chest Deformity

📌 3 Key Takeaways

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Objective & Hypothesis:Abstract Minimally Invasive Pectus Excavatum Surgery: A Single Center Experience.
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Key Findings & Data:PE is seen once in 300-400 live births.
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Conclusion & Impact:Keywords: Pectus excavatum, Nuss Operation, Chest Deformity
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:pektus ekskavatum · nuss operasyonu · göpüs deformitesi

Abstract

Abstract Minimally Invasive Pectus Excavatum Surgery: A Single Center Experience. Aim: Pectus Excavatum (PE) is the most common chest wall deformity. PE is seen once in 300-400 live births. Although there are many methods in the surgical treatment of PE, the most common approach is the Nuss method, which aims to correct the deformity by placing a metal bar under the sternum. In this study, we aimed to present the results of Nuss operations we performed in our clinic in the light of the literature. Materials and Methods: The data of 20 patients who underwent Nuss operation for PE between August 2011 and December 2019 in our clinic were retrospectively analyzed. Results: Eighteen of the patients were male and 2 were female. The age distribution of the patients we operated on was between 6 and 17 years and the median age was 15. The indication for the operation in patients was cosmetic reasons. Average length of hospital stay was 7 days (range 3-15 days). 95% of the patients stated that they were satisfied with the result due to the improvement of the deformity after the operation. Conclusion: Nuss operation, which is a minimally invasive procedure for PE, increases patient satisfaction due to its shorter operation time, smaller incision scar and more aesthetic appearance. Keywords: Pectus excavatum, Nuss Operation, Chest Deformity

Özet

ÖZ Minimal İnvaziv Pektus Ekskavatum Ameliyatı: Tek Merkez Deneyimi Amaç: Pektus Ekskavatum (PE), en sık görülen göğüs duvarı deformitesidir . PE 300-400 canlı doğumda bir görülür. PE’un cerrahi tedavisinde birçok yöntem bulunmakla birlikte en sık kullanılan yaklaşımlar sternum altına metal bir bar yerleştirilerek deformiteyi düzeltmeyi amaçlayan Nuss yöntemidir. Bu çalışmada kliniğimizde gerçekleştirdiğimiz Nuss operasyonlarının sonuçlarını literatür eşliğinde sunmayı amaçladık. Gereç ve Yöntem: Ağustos 2011-Aralık 2019 tarihleri arasında kliniğimizde PE nedeniyle Nuss operasyonu uygulanan 20 hastanın verileri retrospektif olarak incelendi. Bulgular: Hastaların 18’i erkek 2’si kadındı. Opere ettiğimiz hastaların yaş dağılımı 6 ile 17 yaş arasında olup ortanca yaş 15 idi. Hastalarda operasyon için endikasyon kozmetik sebepler idi. Ortalama hastanede yatış süresi 7 gün (dağılım 3-15 gün) idi. Hastaların %95’i operasyon sonrası deformitenin düzelmesine bağlı sonuçtan memnun olduğunu ifade ettiler. Sonuç: PE için yapılan minimal invaziv girişim olan Nuss operasyonu daha kısa operasyon süresi, daha küçük insizyon skarı ve daha estetik görünmesi nedeniyle hasta memnuniyetini arttırmaktadır. Anahtar Kelimeler: Pektus ekskavatum, Nuss Operasyonu, Göğüs Deformitesi

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Cite This Article

ACIPAYAM, A., TOKUR, M. (2021). Minimally Invasive Pectus Excavatum Surgery: A Single Center Experience. Interdisciplinary Medical Journal, Cilt: 12 - Sayı: 42, 18–22. https://ajindex.com/articles/887580

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References (9)

  1. Huddleston CB. Pectus excavatum. Semin Thorac Cardiovasc Surg 2004;16:225-32. https://doi.org/10.1053/j.semtcvs.2004.08.003 Tokur M. Pektus karinatum ve iki taraflı servikal kosta anomalisi: Olgu sunumu [Pectus carinatum and bilateral cervical costa labnormality: a casereport] Türk Göğüs Kalp Damar Cerrahisi Dergisi 2012;20(4):951-953. doi: 10.5606/tgkdc.dergisi.2012.190 https://doi.org/10.5606/tgkdc.dergisi.2012.190 Schamberger RC. Chest wall deformities. In Shields TW,Locicero III J, Reed CE, FeinsRH,eds. General Thoracic Surgery, 7th ed. Philadelphia: Lippincott Williams &Wilkins. 2009:599. Waters PM, Welch K, Micheli LJ, Shamberger R, Hall JE. Scoliosis in children with pectus excavatum and pectus arinatum. J Pediatr Orthop 1989;9:551-6. https://doi.org/10.1097/01241398-198909010-00009
  2. Shamberger RC, Welch KJ. Surgical Repair of Pectus Excavatum. J Pediatr Surg 1988;23:615-22. https://doi.org/10.1016/S0022-3468(88)80629-8
  3. Bostancı K, Yüksel M. Minimal invaziv pektus ekskavatum düzeltme ameliyatı: teknik ve uygulama, marmara deneyimi. Toraks Cerrahisi Bülteni 2011;2:196-203. https://doi.org/10.5152/tcb.2011.30
  4. Nuss D, Kelly RE Jr, Croitoru DP, Katz ME. A 10-year review of a minimally invasiv etechnique for the correction of pectus excavatum. J Pediatr Surg 1998;33:545-52. https://doi.org/10.1016/S0022-3468(98)90314-1 Nuss D. Minimally invasiv e surgical repair of pectusexcavatum. Semin Pediatr Surg 2008;17:209-17. https://doi.org/10.1053/j.sempedsurg.2008.03.003
  5. Demirkaya A, Şimşek F, Erşen E, Aksoy B, Sayılgan C,Turna A ve ark. Pektus eskavatumun minimal invazif olarak düzeltilmesinde komplikasyonları belirleyen faktörler. Turk Gogus Kalp Dama 2011;19:201-6. https://doi.org/10.5606/tgkdc.dergisi.2011.013
  6. Blanco FC, Elliott ST, Sandler AD. Management of Congenital Chest Wall Deformities. Semin Plast Surg 2011; 25: 107-16. https://doi.org/10.1055/s-0031-1275177
  7. Tokur M, Demiröz ŞM, Sayan M, Tokur N, Arpağ H. Chest wall deformities and coincidence of additional anomalies, screening results of the 25.000 Turkish children with the review of the literature. Curr Thorac Surg. 2016; 1(1): 021-027 https://doi.org/10.26663/cts.2016.0005
  8. Chung CS, Myrianthopoulos NC. Factors affecting risks of congenital malformations. I.Analysis of epidemiologic factors in congenital malformations. Report from the Collaborative Perinatal Project. Birth Defects Orig Artic Ser 1975; 11: 1-22.
  9. Nuss D, Kelly RE. Indication sand technique of nuss procedure for pectus excavatum. Thora