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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Experience with a simple technique for pectus bar removal.

Frankie B Fike¹, Vincent E Mortellaro, Corey W Iqbal

¹Department of Surgery, Children's Mercy Hospital, Kansas City, MO 64108, USA.

Journal of Pediatric Surgery

|March 20, 2012

Summary

This summary is machine-generated.

This study introduces a T-shaped surgical technique for pectus bar removal, simplifying the procedure. This method is safe and efficient, eliminating the need to bend the bar during removal for pectus excavatum patients.

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Published on: January 5, 2015

Area of Science:

Thoracic surgery
Pediatric surgery
Minimally invasive surgery

Background:

Pectus excavatum repair often requires subsequent pectus bar removal.
Various techniques exist for pectus bar removal.
A novel T-shaped configuration using two operating tables is presented.

Purpose of the Study:

To evaluate the safety and efficacy of a novel T-shaped surgical technique for pectus bar removal.
To assess the operative time and complications associated with this technique.

Main Methods:

Retrospective chart review of patients undergoing pectus bar removal.
Data collected from August 2000 to March 2010.
Analysis of operative time, blood loss, and complications.

Main Results:

230 patients with a mean age of 16.7 years underwent bar removal.
Mean operative time was 28.6 minutes with average blood loss of 9.5 mL.
Low complication rate: 3% wound infection, one case of hemorrhage controlled with compression.

Conclusions:

The 2-table T-configuration technique for pectus bar removal is safe and time-efficient.
This technique obviates the need for bending the pectus bar during removal.
The method is suitable for pectus excavatum patients requiring bar removal.