Absorbable Stabilisation of the Bar in Minimally Invasive Repair of Pectus Excavatum

Torre, Michele; Jasonni, Vincenzo; Asquasciati, Caterina; Costanzo, Sara; Romanini, Maria Victoria; Varela, Patricio

doi:10.1055/s-2008-1039176

Cited by 21 publications

(16 citation statements)

References 13 publications

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“…Moreover, in our previous experience, AS proved to be as efficacious as MS in stabilizing the bar [12]. The cases of seroma that we observed in the site of AS during the phase of absorption resolved spontaneously in all cases [12]. We did not experience any rupture or dislocation of the bar, like those reported by other authors [13].…”

Section: Discussionsupporting

confidence: 83%

“…On the basis of the results of this study, the use of AS was advantageous at the time of bar removal. Moreover, in our previous experience, AS proved to be as efficacious as MS in stabilizing the bar [12]. The cases of seroma that we observed in the site of AS during the phase of absorption resolved spontaneously in all cases [12].…”

Section: Discussionsupporting

confidence: 58%

“…Absorbable stabilizers (AS) made from Lactosorb (Biomet Microfixation, Jacksonville, FL) were introduced 3 years ago with the aim of reducing pain and morbidity related to metallic bar removal. In our experience, AS has provided safe and effective stabilization of the pectus bar [12]. However, other authors have experienced some ruptures and bar dislocations [13]; therefore, AS was withdrawn from the market since 2009.…”

mentioning

confidence: 77%

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Removal of pectus bar fixed with absorbable vsmetallic stabilizers

Torre

Rapuzzi

Rossi

et al. 2011

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 58%

mentioning

confidence: 77%

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Removal of pectus bar fixed with absorbable vsmetallic stabilizers

Torre

Rapuzzi

Rossi

et al. 2011

Journal of Pediatric Surgery

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“…In the last 75 patients, we have used absorbable stabilizers (Lactosorb Ò ; Biomet, Jacksonville, MS) made of a polylactic and polyglicolic acid combination. 4 In previous patients, we have used metallic stabilizers. The metallic stabilizer is tight to the bar with a steel wire and sutured to the muscles with multiple running Vicryl 0 sutures.…”

Section: Methodsmentioning

confidence: 99%

A Simple Technique for Removing the Nuss Bar with One Stabilizer: The Lateral Approach

Varela

Romanini

Asquasciati

et al. 2010

Journal of Laparoendoscopic & Advanced Surgical Techniques

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The removal of the substernal bar after the Nuss operation is not always an easy and fast maneuver. Only a few different technical solutions have been described. In the original Nuss technique, the patient was lying on dorsal decubitus and rotated on the side during the procedure. The Noguchi technique avoids the rotation of the patient, but requires two incisions and straightening of the bar before pulling it out the thorax. Recently, another technique was proposed, avoiding the need of straightening the bar, but it is feasible only if two operative beds in a large operative room are available. We propose another approach for the removal of the bar: The patient is lying on the lateral decubitus, only one incision is performed, and the bar is pulled out along the thoracic wall. Twenty-one bars were removed by using the present approach without any complications. The advantages of our approach on the previous techniques are the single incision, no need of rotating the patient, straightening the bar, or having two operative beds. Our approach is not feasible when metallic stabilizers have been used on both sides, but in our experience, this was not necessary in order to stabilize the bar.

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“…6Y8 Thus, one of the most important technical points for the final result is the proper stabilization of the pectus bar particularly at its wings. Different bar fixation techniques have been developed to deal with the problem of bar displacement, such as fixation of the bar with metallic stabilizers alone, 9 with nonabsorbable sutures, 6 with multipoint pericostal steel wires, 3 with absorbable stabilizers, 9 or with steel wires alone. 3,10 We use circumcostal absorbable sutures with the aid of a Deschamp needle to guide the suture behind the rib bilaterally for bar fixation.…”

mentioning

confidence: 99%