Idioma:

912 Open Pectus Excavatum Repairs: Changing Trends, Lessons Learned: One Surgeon’s Experience

Fonkalsrud, Eric W.

World journal of surgery, 2009-02, Vol.33 (2), p.180-190 [Periódico revisado por pares]

New York: Springer-Verlag

Texto completo disponível

Citações Citado por

Enviar para

Título:
912 Open Pectus Excavatum Repairs: Changing Trends, Lessons Learned: One Surgeon’s Experience
Autor: Fonkalsrud, Eric W.
Assuntos: Abdominal Surgery ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cardiac Surgery ; Child ; Child, Preschool ; Costal Cartilage ; Female ; Funnel Chest - surgery ; General aspects ; General Surgery ; Health participants ; Humans ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Pectus Carinatum ; Pectus Excavatum ; Postoperative Complications ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Recurrence ; Recurrent Deformity ; Support Strut ; Surgery ; Thoracic Surgery ; Thoracic Surgical Procedures - methods ; Thoracic Surgical Procedures - trends ; Treatment Outcome ; Vascular Surgery
É parte de: World journal of surgery, 2009-02, Vol.33 (2), p.180-190
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Background Severe pectus excavatum (PE) is common, often causing physiologic impairment. Inconsistent results have been reported using a variety of open surgical techniques with extensive subperiosteal costal cartilage resection. Methods Since 1969, 912 (80% men) symptomatic PE patients (mean severity index 4.9) underwent open surgical correction at UCLA Medical Center by one surgeon. Almost all patients had dyspnea, reduced endurance, tachypnea, and tachycardia with exertion. The mean age at operation was 19.8 years. Asymmetric depression was present in 465 (51%) patients; combined PE and pectus carinatum was present in 33 patients. Recurrent PE deformities were repaired on 73 patients. Progressively less deformed costal cartilage was resected during the 38-year period; almost all of the last 303 patients had only short segments excised from both ends with suture reattachment. Transverse wedge sternal osteotomy was used on all patients, and 883 (97%) had a sternal support strut for 6 to 9 months. Results Dyspnea, endurance, tachypnea, and tachycardia was improved in almost all patients within 5 months after repair. Repair for recurrent deformities and resection of mild localized cartilage protrusion was reduced more than threefold when minimal cartilage resection with wire reattachment was used. Postoperative complications in the last 537 patients were less frequent, pain was less severe, and results were better than when more extensive previous repairs were used (mean follow-up 7.6 years). Very good or excellent results were reported by 94.2% of all patients. Conclusions In this largest series of open PE repair, progressively less extensive operative techniques have resulted in low morbidity, mild pain, short hospitalization, and very good physiologic and cosmetic results.
Editor: New York: Springer-Verlag
Idioma: Inglês

Links

Voltar para lista de resultados

Anterior Resultado 5 Avançar Ir para próxima página

Realização: Logos de Redes Sociais:

912 Open Pectus Excavatum Repairs: Changing Trends, Lessons Learned: One Surgeon’s Experience

Fonkalsrud, Eric W.

New York: Springer-Verlag

Buscando em bases de dados remotas. Favor aguardar.