Abordagem ortopédica das deformidades pectus: 32 anos de estudos

Haje, Sydney Abrão; Haje, Davi de Podestá

doi:10.1590/s0102-36162009000300003

Cited by 8 publications

(2 citation statements)

References 18 publications

(27 reference statements)

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“…Although dynamic chest compression was described by Haje and Raymundo as early as 1979, this modality did not gain popularity among surgeons until the Nuss technique of chest remodelling (instead of resecting) completely changed the conception of treatment [31].…”

Section: Introductionmentioning

confidence: 99%

Options for correction of the Pectus carinatum

Aleksandrovich¹,

Yakubovich²,

Uktamovich³

2023

GSC Adv. Res. Rev.

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The article reveals the problem of treatment of the pectus carinatum. The authors described in detail the historical facts, options for surgical treatment. The advantages and disadvantages of each method are noted, the directions of development of thoracic and plastic surgery of the keeled deformity of the chest in the near future are outlined. For the first time, a large proprietary material on the correction of this deformation with the help of a corset is presented. The original method of monitoring the treatment and supervision of the patient until full recovery is described.

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Section: Introductionmentioning

confidence: 99%

Options for correction of the Pectus carinatum

Aleksandrovich¹,

Yakubovich²,

Uktamovich³

2023

GSC Adv. Res. Rev.

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“…The overall incidence of pectus excavatum (PE) is one to eight cases in one thousand individuals. In Brazil, there was a prevalence of 22% in the Midwest region 4 and 1.3% in children from the primary school system in the northern region 5 . This disease most often affects boys (9:1 ratio) 2,3 , and usually it is not discovered early in life.…”

mentioning

confidence: 99%

Nuss procedure for Pectus excavatum repair: critical appraisal of the evidence

Araújo

Penha

Westphal

et al. 2014

Rev. Col. Bras. Cir.

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Objective: To evaluate the effectiveness and safety of correction of pectus excavatum by the Nuss technique based on the available scientific evidence.Methods: We conducted an evidence synthesis following systematic processes of search, selection, extraction and critical appraisal. Outcomes were classified by importance and had their quality assessed by the Grading of Recommendations Assessment, Development and Evaluation (GRADE).Results: The process of selection of items led to the inclusion of only one systematic review, which synthesized the results of nine observational studies comparing the Nuss and Ravitch procedures. The evidence found was rated as poor and very poor quality. The Nuss procedure has increased the incidence of hemothorax (RR = 5.15; 95% CI: 1.07; 24.89), pneumothorax (RR = 5.26; 95% CI: 1.55; 17.92) and the need for reintervention (RR = 4.88; 95% CI: 2.41; 9.88) when compared to the Ravitch. There was no statistical difference between the two procedures in outcomes: general complications, blood transfusion, hospital stay and time to ambulation. The Nuss operation was faster than the Ravitch (mean difference [MD] = -69.94 minutes, 95% CI: -139.04, -0.83).Conclusion: In the absence of well-designed prospective studies to clarify the evidence, especially in terms of aesthetics and quality of life, surgical indication should be individualized and the choice of the technique based on patient preference and experience of the team.

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