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Safety Evaluation of the RibXcar Technique Using the Piezotome: An Analysis of Surgical Complications
Raul Martín Manzaneda Cipriani1, Héctor Durán Vega2, David Andrew Sieber3
1From the Private Practice, Lima, Peru.
Background:
This study analyzed the incidence of minor and major complications associated with rib remodeling performed by punctures (RibXcar surgical technique), specifically using the piezotome instrument. Variables such as learning method, practice time, use of ultrasound support, and type of instrument used were evaluated to determine their relationship with the occurrence of major complications such as pneumothorax and hemothorax.
Methods:
A retrospective analysis of data obtained from a survey distributed to 113 plastic surgeons using rib remodeling performed by punctures was conducted. Descriptive statistics were used to characterize the sample, and chi-square tests were used to analyze the association between variables and complications. In addition, a logistic regression model was applied to adjust for multiple variables.
Results:
Of 113 respondents, 2.65% of respondents reported serious complications, such as pneumothorax or hemothorax. No statistically significant association was found between the use of piezotome and a lower incidence of these serious complications (P = 1.0). Logistic regression analysis also indicated no significant difference in the risk of complications depending on the instrument used.
Conclusions:
The rib remodeling performed by punctures appears to be well adopted and safe according to the surgeons who practice it, with a high acceptance rate of use of ultrasound and piezotome and a low rate of serious complications.
Insights
Rib remodeling using punctures is safe, with a low incidence of serious complications like pneumothorax. The study found no significant link between specific instruments, such as the piezotome, and complication rates.
Area of Science:
- Plastic Surgery
- Surgical Techniques
Background:
- Investigated complications of rib remodeling via punctures (RibXcar technique).
- Evaluated factors influencing major complications like pneumothorax and hemothorax.
- Focused on the piezotome instrument and ultrasound use.
Purpose of the Study:
- To analyze the incidence of complications in rib remodeling using punctures.
- To determine the relationship between surgical variables and major complications.
Main Methods:
- Retrospective analysis of a survey from 113 plastic surgeons.
- Descriptive statistics and chi-square tests for variable association.
- Logistic regression to adjust for multiple variables.
Main Results:
- 2.65% of respondents reported serious complications (pneumothorax/hemothorax).
- No significant association found between piezotome use and lower complication rates (P=1.0).
- Logistic regression showed no significant difference in complication risk based on instrument type.
Conclusions:
- Rib remodeling by punctures is perceived as safe by practicing surgeons.
- High adoption rates of ultrasound and piezotome observed.
- Low incidence of serious complications reported.
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