Minimally Invasive Repair For Pectus Excavatum
Constantin Grozavu, Sr., Daniel Pantile.
Spitalul Universitar de Urgenta Militar Central, Bucharest, Romania.
Background: Pectus excavatum is the most frequent anterior thoracic wall congenital malformation. This malformation becomes more evident among teenagers, when the clinical symptoms become more acute and psychological effects are really important. Over time many treatment techniques have been proposed, conservative or surgical. The minimally invasive repair of pectus excavatum, “Nuss technique”, developed after 1987, is the most used technique worldwide. Methods: With the largest number of patients treated using this procedure (130 patients over the last 10 years) our Thoracic Surgery Department is the biggest in Romania. We will present some historical data related to surgical repair of pectus excavatum and we will concentrate on studying the patients’ satisfaction degree regarding the esthetic results, as well as the improvement of respiratory function parameters. Results: Nuss procedure’s esthetical benefits will be presented, as well as improvements of lung functional parameters. Patients’ degree of satisfaction is presented according to the 2-step Nuss questionnaire. We will discuss our observations compared with other authors, and we will also compare our postoperative results and complications with other centers. Conclusions: This procedure can be performed on a wider range of patients than initially recommended and has a series of advantages: minimally invasive surgical procedure with reduced operative time, good, lasting results, minimal blood loss and fast socio-professional reinstatement.
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