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Related Concept Videos

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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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Vacuum bell therapy.

Frank-Martin Haecker1, Sergio Sesia1

  • 1Department of Pediatric Surgery, University Children's Hospital, Basel, Switzerland.

Annals of Cardiothoracic Surgery
|October 18, 2016
PubMed
Summary
This summary is machine-generated.

Vacuum bell (VB) therapy offers a conservative treatment for pectus excavatum (PE). Our 13-year experience shows encouraging results, with sternum elevation confirmed intraoperatively, though long-term data is still needed.

Keywords:
Pectus excavatum (PE)conservative treatmentvacuum bell (VB)

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Area of Science:

  • Thoracic surgery
  • Medical device innovation
  • Conservative treatment modalities

Background:

  • Pectus excavatum (PE) is a congenital chest wall deformity.
  • Surgical repair and conservative vacuum bell (VB) therapy are treatment options for PE.
  • VB therapy has been used for over a decade as an adjunct or alternative to surgery.

Purpose of the Study:

  • To report on a 13-year experience with vacuum bell (VB) therapy for pectus excavatum (PE).
  • To evaluate the intraoperative use of VB during the Nuss procedure.
  • To present technical innovations in VB devices.

Main Methods:

  • Utilized a patient-activated hand pump vacuum bell (VB) to create negative pressure on the anterior chest wall.
  • Employed three different VB sizes and a specialized model for young women.
  • Patients used the VB at home for 30 minutes twice daily, with adjustable negative pressure monitored via an integrated gauge.

Main Results:

  • Approximately 450 patients (ages 2-61) initiated VB therapy since 2003.
  • Factors like age, gender, PE depth, symmetry, and co-occurring conditions (scoliosis, kyphosis) influenced treatment outcomes.
  • Immediate sternum elevation was consistently observed thoracoscopically during Nuss procedures in all patients.

Conclusions:

  • Vacuum bell (VB) therapy is an established alternative for selected pectus excavatum (PE) patients.
  • Initial VB therapy results are encouraging.
  • Long-term data (over 15 years) is lacking, necessitating further evaluation and follow-up studies.