Difficulties and limitations in minimally invasive repair of pectus excavatum — 6 years experiences with Nuss technique

Dzielicki, Józef; Korlacki, Wojciech; Janicka, Irena; Dzielicka, Ewa

doi:10.1016/j.ejcts.2006.08.004

Cited by 74 publications

(52 citation statements)

References 24 publications

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“…In one of the largest analyzed group of 461 operated children the general number of intraand postoperative complications was 13.4% (13). The allergy on the bar is in 1% of cases (35).…”

Section: Discussionmentioning

confidence: 99%

“…Because of its simplicity the procedure has been introduced also for only cosmetic indications. The operation has been also performed in adults (12,13).…”

Section: Discussionmentioning

confidence: 99%

“…The authors from Japan (39) showed that lateral crossbars are responsible for adverse reactions in the wound. Besides the stabilizing crossbars the bar can be fixed by means of a wire around a rib in one or more points (13,30,40).…”

Section: Discussionmentioning

confidence: 99%

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The Nuss Procedure for the Correction of Pectus Excavatum

Bohosiewicz¹,

Kudela²,

Izwaryn³

2009

Polish Journal of Surgery

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Pectus excavatum is one of the most common chest malformation. It occurs 4-5 times more often in boys. Familiar occurrence of the malformation has been observed. Two surgical techniques have been performed predominantly: the Ravitch method (1949) with further modifications and the Nuss minimally invasive method (1998). The aim of the study was presentation of our own, slightly modified surgical technique, its results and original analgesia method in early postoperative period. results. Very good result was achieved in 72%, good in 22% and bad in 5%. No mortality and inner organ injuries were noticed. Minor complications occurred in 12% of children. conclusions. The Nuss procedure for the correction of pectus excavatum gives good and very good results in 94% of children. The minimal invasiveness of this method allows to use this method for minor defects. The limitation of this technique is asymmetric defect in which the Ravitch procedure is still the method of choice.

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“…In one of the largest analyzed group of 461 operated children the general number of intraand postoperative complications was 13.4% (13). The allergy on the bar is in 1% of cases (35).…”

Section: Discussionmentioning

confidence: 99%

“…Because of its simplicity the procedure has been introduced also for only cosmetic indications. The operation has been also performed in adults (12,13).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Nuss Procedure for the Correction of Pectus Excavatum

Bohosiewicz¹,

Kudela²,

Izwaryn³

2009

Polish Journal of Surgery

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“…The authors performed the operations under thoracoscopy. The authors agree that the Nuss procedure can be the method of choice for correction of pectus excavatum [29,30].…”

Section: The Nuss Methods In Polandmentioning

confidence: 99%

Minimally invasive repair of pectus excavatum by the Nuss procedure in Poland and worldwide – a summary of 25 years of history

Białas¹,

Kempińska-Mirosławska²

2013

kitp

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In 1987, Donald Nuss performed the first minimally invasive repair of pectus excavatum (MIRPE). The aim of the study was to summarize the 25 years of performing this technique and analyze its modifications. The study was prepared using methods commonly used in historical research: descriptive, comparative, inductive and deductive methods. The history of the earliest Nuss operations and updated Nuss procedure was described. The most important modifications of the Nuss procedure were summarized: Miller, Hebra, Schaarschmidt, Hendrickson and Al-Assiri modifications. Polish input to Nuss procedure surgery was described as well. Key words: Nuss procedure, history of thoracic surgery. StreszczenieW 1987 r. Donald Nuss przeprowadził pierwszą minimalnie inwazyjną korekcję lejkowatej klatki piersiowej. Celem pracy było podsumowanie 25 lat stosowania metody Nussa i analiza jej modyfikacji. Badania zostały przeprowadzone z użyciem metod powszechnie stosowanych w badaniach historyczno-medycznych: metoda opisowa, porównawcza, indukcyjna oraz dedukcyjna. W pracy zanalizowano historię najwcześniejszych operacji metodą Nussa oraz jej pierwsze uaktualnienie. Podsumowano także najważniejsze jej modyfikacje: Millera, Hebry, Schaarschmidta, Hendricksona oraz Al-Assiriego. Opisano polski wkład w historię korekcji lejkowatej klatki piersiowej metodą Nussa. Słowa kluczowe: metoda Nussa, historia torakochirurgii.

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“…In 1998, a new technique of minimally invasive repair of PE (MIRPE) was first described by D. Nuss (3) to avoid several operative features of the modified Ravitch repair procedure. Today, the MIRPE technique is well established and represents a common used technique (4)(5)(6)(7)(8)(9). The short operating time, smaller incisions and considerably less dissection has made the MIRPE procedure very appealing both to surgeons and patients, thereby resulting in a large increase of the number of patients requesting operative treatment, and consequently in an increase of the number of PE repairs.…”

Section: Introductionmentioning

confidence: 99%

The Vacuum Bell For Treatment Of Pectus Excavatum: An Effectıve Tool For Conservatıve Therapy

Haecker¹

2011

Toraks Cer Bult

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Difficulties and limitations in minimally invasive repair of pectus excavatum — 6 years experiences with Nuss technique

Cited by 74 publications

References 24 publications

The Nuss Procedure for the Correction of Pectus Excavatum

The Nuss Procedure for the Correction of Pectus Excavatum

Minimally invasive repair of pectus excavatum by the Nuss procedure in Poland and worldwide – a summary of 25 years of history

The Vacuum Bell For Treatment Of Pectus Excavatum: An Effectıve Tool For Conservatıve Therapy

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