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Pectus excavatum repair using Prolene polypropylene mesh.

Seyed Ziaeddin Rasihashemi1, Ali Ramouz2

  • 1Department of Cardiothoracic Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.

Asian Cardiovascular & Thoracic Annals
|January 9, 2016
PubMed
Summary

This study shows Prolene polypropylene mesh is a safe and effective surgical repair for pectus excavatum, improving cosmetic satisfaction and respiratory function. Patients experienced positive outcomes with no serious complications.

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Area of Science:

  • Thoracic surgery
  • Biomaterials in medicine
  • Cardiothoracic surgery

Background:

  • Pectus excavatum is a chest wall deformity often causing cosmetic concerns and exercise intolerance.
  • Surgical repair aims to correct the deformity and alleviate symptoms.

Purpose of the Study:

  • To evaluate the clinical outcomes of pectus excavatum repair using Prolene polypropylene mesh.
  • To assess the safety and efficacy of this surgical technique.

Main Methods:

  • A cohort of 29 patients with pectus excavatum underwent surgical repair.
  • A two-layer Prolene polypropylene mesh was implanted posterior to the sternum.
  • Clinical outcomes, cosmetic satisfaction, and pulmonary function were assessed.

Main Results:

Keywords:
DyspneaFunnel chestPostoperative complicationsSurgical meshThoracic surgical proceduresTreatment outcome

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  • No serious postoperative complications were reported.
  • All patients reported high satisfaction with the cosmetic results.
  • Significant improvements in pulmonary function and mitral valve prolapse were observed.

Conclusions:

  • Prolene polypropylene mesh is a suitable biomaterial for posterior sternal support in pectus excavatum repair.
  • The mesh offers advantages including permanence, stress adaptation, and resistance to degradation.
  • This technique provides favorable clinical outcomes and patient satisfaction.