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Flail Chest-II

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:
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Updated: Jun 16, 2025

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

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Published on: May 17, 2024

Novel techniques and future developments in minimally invasive pectus repair.

Luzia Toselli¹, Gaston Bellia-Munzon², Daniela Sanjurjo²

¹Department of Pediatric Surgery, Fundacion Hospitalaria, Buenos Aires, Argentina.

Journal of Thoracic Disease

|August 15, 2024

Summary

Recent advancements in pectus excavatum treatment include 3D printing for personalized implants and the bridge technique to prevent implant displacement. These innovations enhance safety and improve thoracic remodeling outcomes.

Keywords:

Funnel chest bridges sternal elevation three-dimensional printing (3D printing)total chest wall remodeling

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Area of Science:

Thoracic surgery
Medical device innovation
Biomedical engineering

Background:

The Nuss technique revolutionized pectus excavatum repair in 1998.
Recent years have seen significant technical modifications and new treatment modalities.
Standardization is shifting towards personalized medicine in surgical repair.

Purpose of the Study:

To provide an updated overview of the latest developments in pectus excavatum treatment.
To highlight innovations in surgical techniques and implant customization.
To discuss advancements addressing safety and efficacy in repair.

Main Methods:

Review of recent technical modifications and new treatment modalities for pectus excavatum.
Discussion of three-dimensional (3D) printing for customized prostheses and surgical planning.
Analysis of novel fixation techniques, including the bridge technique, for implant stability.

Main Results:

Three-dimensional (3D) printing enables precise planning, simulation, and customized prostheses.
Focus is shifting towards complete thoracic remodeling rather than focal depression correction.
The bridge technique demonstrates encouraging results in preventing potentially fatal implant displacement.

Conclusions:

Innovative approaches like 3D printing and the bridge technique are transforming pectus excavatum surgery.
Personalized medicine and complete thoracic remodeling are key trends in current treatment.
Enhanced safety and improved outcomes are being achieved through these evolving surgical strategies.