Nuss procedure: Technical modifications to ease bending of the support bar and lateral stabilizer placement
Background: Modifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE) have not been reported. We herein report our experience with MIRPE including several technical modifications. Methods: A total of 87 patien...
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| Published in: | Annals of thoracic medicine Vol. 11; no. 3; pp. 214 - 218 |
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| Format: | Journal Article |
| Language: | English |
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India
Wolters Kluwer - Medknow Publications
01-07-2016
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| Abstract | Background: Modifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE) have not been reported. We herein report our experience with MIRPE including several technical modifications.
Methods: A total of 87 patients who underwent MIRPE were evaluated retrospectively. Technical modifications are (1) a template drawn preoperatively according to the anthropometric measurements, (2) more laterally placed thoracal incisions, (3) single existing incision for multiple support bars, (4) to secure lateral stabilizers to support bar in inverted position.
Results: The mean patient age was 11.2 ± 3.8 years. The mean operating time was 63.7 ± 18.7 min. The mean Haller index was 5.4 ± 2.1. Eight patients necessitated two support bars. The support bars were removed in 69 patients after the completion of treatment. Support bars were left in place 26.8 ± 4.3 months. Final chest contours of the 56 patients were evaluated as 12 months passed after support bar removal and excellent repair results were determined in 84.2%.
Conclusion: Preoperative bending of the support bar according to anthropometric measurements and fixation of the lateral stabilizers to the support bar in inverted position facilitates bar shaping and lateral stabilizer placement. |
|---|---|
| AbstractList | Background: Modifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE) have not been reported. We herein report our experience with MIRPE including several technical modifications. Methods: A total of 87 patients who underwent MIRPE were evaluated retrospectively. Technical modifications are (1) a template drawn preoperatively according to the anthropometric measurements, (2) more laterally placed thoracal incisions, (3) single existing incision for multiple support bars, (4) to secure lateral stabilizers to support bar in inverted position. Results: The mean patient age was 11.2 +- 3.8 years. The mean operating time was 63.7 +- 18.7 min. The mean Haller index was 5.4 +- 2.1. Eight patients necessitated two support bars. The support bars were removed in 69 patients after the completion of treatment. Support bars were left in place 26.8 +- 4.3 months. Final chest contours of the 56 patients were evaluated as 12 months passed after support bar removal and excellent repair results were determined in 84.2%. Conclusion: Preoperative bending of the support bar according to anthropometric measurements and fixation of the lateral stabilizers to the support bar in inverted position facilitates bar shaping and lateral stabilizer placement. BACKGROUNDModifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE) have not been reported. We herein report our experience with MIRPE including several technical modifications. METHODSA total of 87 patients who underwent MIRPE were evaluated retrospectively. Technical modifications are (1) a template drawn preoperatively according to the anthropometric measurements, (2) more laterally placed thoracal incisions, (3) single existing incision for multiple support bars, (4) to secure lateral stabilizers to support bar in inverted position. RESULTSThe mean patient age was 11.2 ± 3.8 years. The mean operating time was 63.7 ± 18.7 min. The mean Haller index was 5.4 ± 2.1. Eight patients necessitated two support bars. The support bars were removed in 69 patients after the completion of treatment. Support bars were left in place 26.8 ± 4.3 months. Final chest contours of the 56 patients were evaluated as 12 months passed after support bar removal and excellent repair results were determined in 84.2%. CONCLUSIONPreoperative bending of the support bar according to anthropometric measurements and fixation of the lateral stabilizers to the support bar in inverted position facilitates bar shaping and lateral stabilizer placement. Background: Modifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE) have not been reported. We herein report our experience with MIRPE including several technical modifications. Methods: A total of 87 patients who underwent MIRPE were evaluated retrospectively. Technical modifications are (1) a template drawn preoperatively according to the anthropometric measurements, (2) more laterally placed thoracal incisions, (3) single existing incision for multiple support bars, (4) to secure lateral stabilizers to support bar in inverted position. Results: The mean patient age was 11.2 ± 3.8 years. The mean operating time was 63.7 ± 18.7 min. The mean Haller index was 5.4 ± 2.1. Eight patients necessitated two support bars. The support bars were removed in 69 patients after the completion of treatment. Support bars were left in place 26.8 ± 4.3 months. Final chest contours of the 56 patients were evaluated as 12 months passed after support bar removal and excellent repair results were determined in 84.2%. Conclusion: Preoperative bending of the support bar according to anthropometric measurements and fixation of the lateral stabilizers to the support bar in inverted position facilitates bar shaping and lateral stabilizer placement. Background: Modifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE) have not been reported. We herein report our experience with MIRPE including several technical modifications. Methods: A total of 87 patients who underwent MIRPE were evaluated retrospectively. Technical modifications are (1) a template drawn preoperatively according to the anthropometric measurements, (2) more laterally placed thoracal incisions, (3) single existing incision for multiple support bars, (4) to secure lateral stabilizers to support bar in inverted position. Results: The mean patient age was 11.2 ± 3.8 years. The mean operating time was 63.7 ± 18.7 min. The mean Haller index was 5.4 ± 2.1. Eight patients necessitated two support bars. The support bars were removed in 69 patients after the completion of treatment. Support bars were left in place 26.8 ± 4.3 months. Final chest contours of the 56 patients were evaluated as 12 months passed after support bar removal and excellent repair results were determined in 84.2%. Conclusion: Preoperative bending of the support bar according to anthropometric measurements and fixation of the lateral stabilizers to the support bar in inverted position facilitates bar shaping and lateral stabilizer placement. Modifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE) have not been reported. We herein report our experience with MIRPE including several technical modifications. A total of 87 patients who underwent MIRPE were evaluated retrospectively. Technical modifications are (1) a template drawn preoperatively according to the anthropometric measurements, (2) more laterally placed thoracal incisions, (3) single existing incision for multiple support bars, (4) to secure lateral stabilizers to support bar in inverted position. The mean patient age was 11.2 ± 3.8 years. The mean operating time was 63.7 ± 18.7 min. The mean Haller index was 5.4 ± 2.1. Eight patients necessitated two support bars. The support bars were removed in 69 patients after the completion of treatment. Support bars were left in place 26.8 ± 4.3 months. Final chest contours of the 56 patients were evaluated as 12 months passed after support bar removal and excellent repair results were determined in 84.2%. Preoperative bending of the support bar according to anthropometric measurements and fixation of the lateral stabilizers to the support bar in inverted position facilitates bar shaping and lateral stabilizer placement. |
| Audience | Academic |
| Author | Karakus, Osman Akgur, Feza Ulusoy, Oktay Olguner, Cimen Ates, Oguz Hakguder, Gulce Olguner, Mustafa |
| AuthorAffiliation | 1 Department of Anesthesiology, Dokuz Eylül University, Medical School, Izmir, Turkey Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey |
| AuthorAffiliation_xml | – name: Department of Pediatric Surgery, Dokuz Eylül University, Medical School, Izmir, Turkey – name: 1 Department of Anesthesiology, Dokuz Eylül University, Medical School, Izmir, Turkey |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27512512$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_jpedsurg_2019_11_025 crossref_primary_10_1016_j_athoracsur_2017_09_031 crossref_primary_10_1097_SAP_0000000000002892 crossref_primary_10_1371_journal_pone_0238539 crossref_primary_10_1016_j_suc_2022_07_017 |
| Cites_doi | 10.1016/B978-0-323-02842-4.50062-0 10.1016/j.jpedsurg.2011.03.048 |
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| Copyright | COPYRIGHT 2016 Medknow Publications and Media Pvt. Ltd. Copyright Medknow Publications & Media Pvt Ltd Jul-Sep 2016 Copyright: © Thoracic Medicine 2016 |
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| Keywords | pectus excavatum thorax deformity Minimal invasive repair minimal invasive repair of pectus excavatum Nuss procedure |
| Language | English |
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| Snippet | Background: Modifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum... Modifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE) have not... BACKGROUNDModifications defined to ease bending of the support bar and lateral stabilizer placement during minimal invasive repair of pectus excavatum (MIRPE)... |
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| SubjectTerms | Innovations Medical equipment Methods Minimal invasive repair minimal invasive repair of pectus excavatum Minimally invasive surgery Nuss procedure Original pectus excavatum thorax deformity |
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| Title | Nuss procedure: Technical modifications to ease bending of the support bar and lateral stabilizer placement |
| URI | http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2016;volume=11;issue=3;spage=214;epage=218;aulast=Karakus;type=0 https://www.ncbi.nlm.nih.gov/pubmed/27512512 https://www.proquest.com/docview/1837023067 https://search.proquest.com/docview/1811291875 https://pubmed.ncbi.nlm.nih.gov/PMC4966225 https://doaj.org/article/b9d928baf71547f3bf9ab197cfc3401f |
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