[MINIMALLY INVASIVE PROCEDURE FOR CORRECTION OF PECTUS CARINATUM]
Insights
Minimally invasive surgery for pectus carinatum offers a safe and effective solution for chest wall deformities. This approach results in good thoracic contour and less trauma for patients.
Area of Science:
- Thoracic surgery
- Pediatric surgery
- Minimally invasive procedures
Background:
- Pectus carinatum is a congenital chest wall deformity.
- Traditional surgical correction can be invasive.
- Minimally invasive techniques are emerging for pectus deformities.
Purpose of the Study:
- To evaluate the efficacy and safety of a minimally invasive procedure for pectus carinatum correction.
- To explore the surgical method and patient experience.
Main Methods:
- A cohort of 30 patients (21 boys, 9 girls) aged 8-18 years underwent minimally invasive pectus carinatum repair.
- Procedures included primary corrections, repairs of recurrences, and secondary corrections after thoracotomy.
- Patients presented with mild symmetric and asymmetric pectus carinatum.
Main Results:
- All 30 patients had successful operations with no severe complications.
- Mean operative time was 70 minutes, with a mean blood loss of 10 mL.
- Patients experienced a mean hospital stay of 7 days, with good thoracic contour and normal activity post-recovery.
Conclusions:
- Minimally invasive pectus carinatum correction is a safe procedure.
- The technique yields satisfactory results in restoring thoracic contour.
- This method offers reduced trauma and shorter operative times compared to traditional approaches.
Objective:
To explore the method and experience in correction of pectus carinatum with minimally invasive procedure.
Methods:
Between June 2010 and January 2014, 30 patients with pectus carinatum were corrected by minimally invasive procedure. There were 21 boys and 9 girls whose average age was 13 years and 2 months (range, from 8 years and 10 months to 18 years and 9 months), including 24 cases of first operation, 2 recurrence after traditional pectus carinatum correction, and 4 cases secondary to median thoracotomy. Thirty patients had symmetric and asymmetric mild pectus carinatum.
Results:
The operation was performed successfully in all patients, and no severe complication occurred. The operation time was 42-95 minutes (mean, 70 minutes). The bleeding volume during operation was 4-30 mL (mean, 10 mL). The time from operation to discharge was 6-10 days (mean, 7 days). The average time of follow-up was 25 months (range, 9-54 months). All surgical wound healed primarily with no infection. The X-ray films showed slight pneumothorax in 7 cases, and it was absorbed after 1 month without treatment. Loosening of internal fixation was found in 1 patient because of trauma at 6 months, and operation was performed again. The bar was removed at 2 years in 21 patients. The patients had good thoracic contour and normal activity.
Conclusion:
Minimally invasive procedure for correction of pectus carinatum is safe and will get satisfactory effect in maintaining thoracic contour. It has also less trauma and shorter operation time.
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