BackgroundPectus Excavatum (PEx) is the most common congenital chest wall deformity, accounting for over 90% of all chest wall deformities. Surgical correction is recommended because severe PEx can affect the physical and psychological development of patients. The aim of our study was to assess the impact of surgical repair of Pectus Excavatum in adults during hospital course and results after 1 year.MethodsProspective study was carried out on 86 adult patients aged ≥ 15 years, 52 males and 34 females (mean age was 26 ± 1.5 years). All cases were divided into two groups, group I: (15–25 years old) and group II: (> 25 years old). Preoperative, operative, and postoperative data were reviewed. Statistical analysis was performed.ResultsStatistical analyses revealed significant improvement postoperatively of cosmetic satisfaction (P-value < 0.0001), pain (P-value =0.0003), exertional dyspnea (p-value <0.05) and exercise tolerance. The degree of chest compression was significantly improved after surgical correction within 12 months and the estimated measurement postoperatively of Haller Index showed significant reduction (p-value <0.001). Patient satisfaction postoperatively was excellent in 77.9% of all cases.ConclusionSurgical correction of Pectus Excavatum using open technique in adults had excellent post-operative outcome in the short term follow up that encourage performing the procedure for all cases. Long term results need longer period for follow up. Etiology and predisposing factors still need further research.

There is right ventricular dysfunction early after major pulmonary resection caused by increased right ventricular afterload. This dysfunction is more present in pneumonectomy than in lobectomy. Heart rate, mean pulmonary artery pressure, pulmonary capillary wedge pressure, pulmonary vascular resistance, right ventricular ejection fraction, and right ventricular end diastolic volume index are significantly affected by pulmonary resection.

Age, history of prior heart disease, lung resection, and the extent of pulmonary resection are the main risk factors for postoperative supraventricular arrhythmia in patients undergoing major thoracic operations.

Background: Atrial septal defect (ASD) is the most common congenital heart disease (CHD) in adults after bicuspid aortic valve. Although the defect is often asymptomatic until adulthood, undetected ASDs could lead to potential irreversible complications like arrhythmias, stroke, pulmonary hypertension and its squeal.

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As a result of its great size, significant functional demands when walking, and a limited blood supply, Achilles tendons are particularly vulnerable to acute and chronic damage. Pain at the back of the heel is a frequent ailment that may be caused by a number of things. When it comes to dealing with Haglund deformity, this systematic review of the literature aims to address several treatment options, including conservative care and surgical procedures that are either open or minimally invasive. Methods: A thorough literature search was followed by study selection, study characteristics recording, and data extraction on clinical outcomes. Results: Patients' ages varied from 27.7 to 54.8 years across all trials, which may be attributed to the disease's complexity. There was a wide variation in the number of feet that were included in each investigation. Each research's follow-up period (in months) ranges from 5.2 to 57.4 months, depending on the kind and purpose of the investigation. Female predominance was evident. Operation times varied from 28.3 to 68 minutes in just six trials. Endoscopic procedures took longer to complete during surgery. Five research compared preoperative and postoperative pain using the Vas score, which dropped considerably at the conclusion of the follow-up period in all investigations. Postoperative AOFAS scores were somewhat higher for endoscopic procedures than for open ones, although the difference was not statistically significant. After conservative therapy has failed, operational intervention may be necessary in the case of Haglund's illness, as we found in our systematic review. It is the goal of management to get an athlete back to their pre-injury level of activity in the shortest amount of time feasible without substantial discomfort. For Haglund's illness, endoscopic and open calcaneoplasty are effective treatments. Clinical outcomes and postoperative complications were not significantly different between the two groups, either. In the treatment of Haglund's illness, both endoscopic and open calcaneoplasty proved to be safe and successful.

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