Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate?

2018 ◽  
Vol 28 (04) ◽  
pp. 347-354 ◽  
Author(s):  
Sherif Emil
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Correction ◽  
Diagnosis And Treatment ◽  
Pectus Carinatum ◽  
The Past ◽  
Minimally Invasive Surgical

AbstractPectus carinatum has traditionally been described as a rare chest wall anomaly in comparison to pectus excavatum. However, recent data from chest wall anomaly clinics demonstrate that this deformity is probably much more frequent than once believed. In the past, invasive surgical correction by the Ravitch technique was essentially the only option for treatment of pectus carinatum. Major advances over the past two decades have provided additional options, including noninvasive chest wall bracing and minimally invasive surgical correction. This article will discuss current options for the treatment of pectus carinatum, and some of the factors that should be taken into account when choosing the options available. Diagnosis and treatment of the pectus arcuatum variant will also be described.

Deformities of the chest

2021 ◽  
pp. 991-1000
Author(s):  
Harvey Stern
Keyword(s):  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Correction ◽  
Tumour Resection ◽  
Poland Syndrome ◽  
Pectus Carinatum ◽  
Full Spectrum ◽  
Reconstructive Techniques

Analysis and surgical management of chest wall deformities involves understanding complex congenital and acquired conditions and well as the full spectrum of reconstructive techniques. Congenital chest wall deformity includes pectus excavatum, pectus carinatum, and Poland syndrome. In surgical correction of these conditions, timing and the understanding of the growing child is important. Traumatic chest wall deformities present a different set of challenges, especially as the context is often a very unwell patient. As cardiothoracic surgeons push the boundaries of what is possible in patients with ischaemic heart disease, iatrogenic defects are not uncommon, and repair of such defects is described. Lastly, this chapter covers surgery for the coverage of major tumour resection defects in oncological surgery.

Chest Wall Deformities

1989 ◽  
Vol 11 (5) ◽  
pp. 147-151
Author(s):  
Dick G. Ellis
Keyword(s):  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Correction ◽  
Funnel Chest ◽  
Pectus Carinatum ◽  
Correction Surgery ◽  
Cosmetic Problem

Chest wall deformities are principally depression deformities, the most common being pectus excavatum (funnel chest). The most common protrusion deformity is pectus carinatum (pigeon breast). Pectus carinatum is a cosmetic problem, but its presence can be psychologically devastating to the patient. Pectus excavatum is definitely a physiologic problem, the effects of which may be reversible by surgical correction. Surgery is safe, complications are minimal, and results are usually satisfactory.

Pectus Carinatum as a Sequela of Minimally Invasive Pectus Excavatum Repair

2002 ◽  
Vol 6 (1) ◽  
pp. 41-44 ◽  
Author(s):  
André Hebra ◽  
Patrick B. Thomas ◽  
Edward P. Tagge ◽  
William T. Adamson ◽  
H. Biemann Othersen
Keyword(s):  
Minimally Invasive ◽  
Pectus Excavatum ◽  
Pectus Carinatum

scholarly journals Simultaneous repair of cardiac pathology and severe pectus excavatum in Marfan patients using a modified minimally invasive repair

2011 ◽  
Vol 1 (1) ◽  
pp. 3 ◽  
Author(s):  
Dawn E. Jaroszewski ◽  
Jason D. Fraser ◽  
Patrick A. DeValeria
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Chest Wall ◽  
Preliminary Report ◽  
Pectus Excavatum ◽  
Chest Wall Deformity ◽  
Cardiac Pathology ◽  
Cosmetic Results ◽  
Good Cosmetic ◽  
Valve Pathology

Pectus excavatum (PE) deformity is present in the majority of Marfan patients. Many have not had PE repair and present as adults with aortic and valve pathology requiring operative intervention. We present our preliminary report of simultaneous cardiac surgery and repair of the chest wall deformity. Utilizing this modified minimally invasive excavatum repair provided quick, safe repairs with good cosmetic results.

Minimally invasive surgical techniques in diagnosis and treatment of lung cancer

2012 ◽  
Vol 84 (2) ◽  
pp. 113-119 ◽  
Author(s):  
S. Nikolouzos ◽  
A. Lioulias ◽  
N. Baltayiannis ◽  
A. Charpidou ◽  
K. Syrigos
Keyword(s):  
Lung Cancer ◽  
Minimally Invasive ◽  
Surgical Techniques ◽  
Diagnosis And Treatment ◽  
Minimally Invasive Surgical

Carpal tunnel syndrome: matching minimally invasive surgical techniques

2008 ◽  
Vol 108 (5) ◽  
pp. 1033-1036 ◽  
Author(s):  
Vittoria Nazzi ◽  
Angelo Franzini ◽  
Giuseppe Messina ◽  
Giovanni Broggi
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Minimally Invasive ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Surgical Techniques ◽  
The Past ◽  
Minimally Invasive Surgical ◽  
Group A ◽  
Tunnel Syndrome ◽  
Group B

✓In the past few years, several different minimally invasive surgical techniques have been proposed to decompress the median nerve at the wrist. Use of these techniques has become widespread due to fewer local complications, faster functional recovery, and reduced surgical time. In this paper the authors compare 3 different minimally invasive surgical techniques used at their institution in the past 13 years. Between January 1994 and January 2007, 891 patients underwent 1272 surgeries at the authors' institution for carpal tunnel syndrome (CTS), for which a minimally invasive technique was used. In 473 cases (Group A), the transillumination technique with a single wrist incision and a “carpalotome” (a modified Paine retinaculotome) was used; in 216 cases (Group B), transillumination was abandoned and a single linear wrist incision for access with the carpalotome was performed; and in 583 cases (Group C), the techniques were further modified by making a second incision in the palm using the carpalotome. All 3 groups of patients were homogeneous for age, sex, and duration of the symptomatology. In 90% of the patients in Group A, in 88% of those in Group B, and 99.8% of patients in Group C, complete remission of symptoms was obtained. Due to persistence of symptoms, 44 patients in Group A, 24 in Group B, and only 1 in Group C underwent a repeated operation with the open technique. The only surgical complication requiring repeated operation of the 1272 operations was a lesion of the primitive median artery (1 patient in Group C). The technique of median nerve decompression at the wrist that was used for patients in Group C represents a valid alternative for treatment of CTS.

scholarly journals THE POSSIBILITY OF MINIMALLY INVASIVE ROENTGEN-SURGICAL TECHNIQUES IN ABDOMINAL SURGERY

2014 ◽  
Vol 5 (3) ◽  
pp. 35-42
Author(s):  
Yu V Ivanov ◽  
D P Lebedev ◽  
A V Alekhnovich
Keyword(s):  
Minimally Invasive ◽  
Correct Diagnosis ◽  
Surgical Techniques ◽  
Specific Treatment ◽  
Clinical Situation ◽  
Diagnosis And Treatment ◽  
Minimally Invasive Surgical ◽  
Clinical Observations ◽  
Surgical Methods ◽  
Subhepatic Abscess

The clinical observations showing the diagnostic and therapeutic capacities of minimally invasive percutaneous roentgen-surgical techniques in the diagnosis and treatment of hepatopancreatoduodenal zone diseases are presented. In these cases, the use of minimally invasive surgical techniques on various stages of diagnosis and treatment have helped to correct diagnosis, and effective treatment, discarding traditional traumatic surgery. In the first clinical observation percutaneous radiosurgical method drainage of an abscess of the liver allowed to reveal chronic form of fascioliasis and conduct specific treatment. In the second - to establish the cause of recurrent subhepatic abscess, in the third-to remove concrements of common bile duct, if unable to perform open surgery or endoscopic papillosfinkterotomiya and remove concrements. Common to all three clinical observations is the fact that up to minimally invasive roentgen-surgical methods of treatment were carried out public activities, which for various reasons proved ineffective. The latest minimally invasive radiosurgical methods allow not only to establish an accurate diagnosis, but may be intermediate or final treatment.This is especially important in severe patients at impossibility of the surgery and if necessary, stabilization of the general status and improving metabolic and functional parameters of the upcoming radical operation. In most cases, a variety of minimally invasive surgical techniques are not competing among themselves, but only complement or substitute one another in every concrete clinical situation.

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