Experience of the Wang procedure in treating pectus excavatum in two hundred fifty-six paediatric patients

Wang, Wenjie; Wang, Wenlin; Long, Weiguang; Chen, Chunmei; Liu, Yang; Cai, Bin; Luo, Juan; Chen, Kai

doi:10.1007/s00264-022-05483-1

Cited by 4 publications

(10 citation statements)

References 11 publications

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“…In order to completely simplify the operation, we chose Wang procedure for this kind of patients. Wang procedure was specially designed for young children with pectus excavatum [4][5][6] . In the later application, this procedure was widely used in a variety of deformity operations with chest wall depression [7][8][9] .…”

Section: Discussionmentioning

confidence: 99%

“…For the reoperation of pectus excavatum, Wang procedure can avoid the most dangerous adhesion separation, which can not only reduce the operation risk, but also reduce the difficulty of the operation, so it is the most ideal choice. Compared with Nuss procedure, Wang procedure has many other advantages: 1) [4][5][6] Direct operation on the local lesion. The incision of Nuss procedure is located on the lateral chest wall, but the main lesion is located in the middle of the chest wall.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, we admitted a patient with pectus excavatum who failed Nuss procedure. We adopted Wang procedure [4][5][6] for him and achieved satisfactory results.…”

Section: Introductionmentioning

confidence: 99%

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Wang procedure: A reasonable choice for reoperation after failure of Nuss procedure for pectus excavatum

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Surg. Sci.

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Pectus excavatum is a common thoracic deformity, and Nuss procedure is considered as the standard operation for the treatment of this deformity. However, there are often cases of Nuss procedure failure in the clinic. Once such a situation occurs, it often needs to be operated again. Since Nuss procedure can cause adhesions behind the sternum and in the bilateral thoracic cavities, if Nuss procedure is still used in the reoperation, it is not only very difficult, but also possible to cause heart and lung injuries. Therefore, Nuss procedure is not an ideal choice for reoperation. Wang procedure is a new method to treat the deformity of depressed chest wall. Since this operation is mainly performed outside the chest wall and rarely involves the structures in thoracic cavity, it is suitable for reoperation after the failure of Nuss procedure. This article reports a 12-year-old boy who had a failed Nuss procedure. We used Wang procedure for treatment and achieved satisfactory results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Wang procedure: A reasonable choice for reoperation after failure of Nuss procedure for pectus excavatum

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Surg. Sci.

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“…The main feature is the depression of the anterior chest wall. Because it can affect patients from both physiological and psychological aspects, many patients need treatment [1][2][3][4][5] . This deformity are always found after birth or in childhood, and most of the children will go to pediatric surgery department for help.…”

Section: Introductionmentioning

confidence: 99%

“…With the increase of application experience of Nuss procedure, its defects are gradually revealed. These defects include [3][4][5] : (1) the surgery has a high risk. The Nuss procedure requires a special steel bar to be placed in the space between the sternum and the heart.…”

Section: Introductionmentioning

confidence: 99%

Wang procedure: Background, characteristics and application

Wang¹,

Long²,

Liu³

et al. 2022

Int. J. Surg. Sci.

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Wang procedure is a new method to treat pectus excavatum. Before this operation, there was almost only one choice for the treatment of pectus excavatum, which was Nuss procedure. Nuss procedure is a great operation. However, due to obvious defects, improvement is needed. Since general improvement cannot eliminate some deep-rooted defects, the only way to completely eliminate these defects is to design a brand-new technique. It is against this background that Wang procedure came into being. A large number of clinical practices have shown that this operation not only has many advantages that Nuss procedure does not have, but also can be used in a variety of depression and complex deformities. The appearance of Wang procedure has completely changed the concept of thoracic deformity correction and promoted the progress of technology.

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