Related Experiment Video

Updated: Feb 13, 2026

A Method for Investigating Change Blindness in Pigeons Columba Livia
06:14

A Method for Investigating Change Blindness in Pigeons Columba Livia

Published on: September 7, 2018

6.8K

Pigeon chest: comparative analysis of surgical techniques in minimal access repair of pectus carinatum (MARPC)

Ancuta Muntean1,2, Ionica Stoica2, Amulya K Saxena3

  • 1Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, Imperial College London, 369 Fulham Road, London, SW109NH, UK.

World Journal of Pediatrics : WJP
|March 4, 2018
PubMed
Abstract

Insights

Minimal access repair for pectus carinatum (MARPC) shows an 89% success rate but has a high complication rate, with many patients needing further surgery. Techniques lack standardization, hindering direct comparisons.

Area of Science:

  • Thoracic surgery
  • Pediatric surgery
  • Minimally invasive procedures

Background:

  • Pectus carinatum repair techniques evolved following minimally invasive repair for pectus excavatum (MIRPE).
  • Minimal access repair for pectus carinatum (MARPC) encompasses various surgical approaches.

Purpose of the Study:

  • To analyze and compare published minimal access repair for pectus carinatum (MARPC) techniques.
  • To evaluate the outcomes and complications associated with MARPC.

Main Methods:

  • Systematic literature review on PubMed using keywords: "pectus carinatum", "minimal access repair", "thoracoscopy", and "children".
  • Inclusion criteria focused on MARPC techniques, encompassing 13 articles and 140 patients.

Main Results:

  • Twelve MARPC techniques were identified, with a cumulative success rate of approximately 89% (125/140 patients).
  • The overall complication rate was 39.28%, with skin irritation (14.28%), wire breakage (9.64%), and bar displacement (4.46%) being most frequent.
  • 15.71% of patients required a second procedure due to complications, and recurrences were reported in four techniques.

Conclusions:

  • Minimal access repair for pectus carinatum (MARPC) techniques are not standardized, making direct comparative analysis challenging.
  • Surgical morbidity is significant in MARPC, affecting over two-thirds of patients, with approximately 15% requiring surgical intervention for complications.
Keywords:
ChildrenComplicationsMinimal access surgeryPectus carinatum

More Related Videos

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

65.2K
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

12.3K

Related Concept Videos

Comparing the Survival Analysis of Two or More Groups01:20

Comparing the Survival Analysis of Two or More Groups

Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
618
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
771
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
661
Chest Physiotherapy01:24

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
1.9K
Mismatch Repair01:36

Mismatch Repair

Overview
43.8K
Overview of DNA Repair02:25

Overview of DNA Repair

In order to be passed through generations, genomic DNA must be undamaged and error-free. However, every day, DNA in a cell undergoes several thousand to a million damaging events by natural causes and external factors. Ionizing radiation such as UV rays, free radicals produced during cellular respiration, and hydrolytic damage from metabolic reactions can alter the structure of DNA. Damages caused include single-base alteration, base dimerization, chain breaks, and cross-linkage.
Chemically...
33.9K