Is the Abramson technique effective in pectus carinatum repair?

Katrancioglu, Ozgur; Akkaş, Yücel; Karadayı, Şule; Şahin, Ekber; Kaptanoğlu, Melih

doi:10.1016/j.asjsur.2016.09.008

Cited by 16 publications

(12 citation statements)

References 14 publications

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“…In the last 10 years, minimally invasive surgery for correction of pectus carinatum has gained worldwide acceptance among surgeons and patients [ 5 , 6 , 10 – 13 ]. Until 2016 we used the original Abramson technique in 68 patients.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive repair of pectus carinatum by modification of the Abramson technique.

Özkaya¹,

Bilgin²

2018

Videosurgery and Other Miniinvasive Techniques

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IntroductionThe minimally invasive pectus carinatum surgery described by Abramson has been performed in many centers. We modified the “sub-muscular tunnel creation” part of the original Abramson technique.AimTo compare the operative time between the original Abramson technique and a lightly modified approach.Material and methodsA retrospective review of 84 patients who underwent minimally invasive repair of pectus carinatum deformity between July 2008 and November 2017 was performed. We applied two different techniques, the original Abramson technique and the modified technique. Sixty-eight patients – 49 (72%) males and 19 (28%) females – underwent minimally invasive repair of a pectus carinatum deformity as described by Abramson (Abramson group). Sixteen patients – 13 (81%) males and 3 (19%) females – were operated on by our modified Abramson technique at our institution (Modified group).ResultsEighty-four patients were included in this study: 68 patients from the Abramson group and 16 patients from the Modified group. There was no significant difference between the groups with respect to preoperative demographic features, including median age and sex. Median operative time was significantly shorter in the Modified group than the Abramson group (43 min, range: 32–54 min) in the Modified group vs. 30 min (range: 20–35 min) in the Abramson group (p < 0.001).ConclusionsThis article describes a modification of a surgical technique that is safely and easily used in minimally invasive correction of pectus carinatum deformities, with minimal complications, high satisfaction rates and shorter operative time.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive repair of pectus carinatum by modification of the Abramson technique.

Özkaya¹,

Bilgin²

2018

Videosurgery and Other Miniinvasive Techniques

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“…La condrogladiolar es aquella donde el gladiolo y los cartílagos inferiores costales sobresalen a través del aspecto más prominente del esternón. Por otro lado, en la condromanubrial la protrusión es en el manubrio y en los cartílagos costales superiores [40][41][42] . La incidencia de esta condición es aproximadamente de 1 en 1.000 nacimientos vivos 28 , siendo cuatro veces más frecuente en varones que en féminas.…”

Section: Pectum Carinatumunclassified

“…Consiste en introducir una barra metálica en la porción anterior al esternón para comprimir el esternón y corregir la protuberancia costal. La barra metálica se fija a ambos lados de la pared torácica usando placas metálicas 42 . La edad ideal para este procedimiento fluctúa entre los 12 a18 años 45 .…”

Section: Tratamientounclassified

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Deformidad de la caja torácica

Ramirez-Lluch

Acevedo-Echevarría

2018

Rev Chil Cir

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Chest wall deformities are divided as an abnormal development during the growth or those secondary to a congenital malformation. The developmental type is the most common: pectus excavatum or pectus carinatum. The less common are the congenital types of chest wall abnormalities: Poland's syndrome, Jeune's syndrome, espondylothoracic dysplasia, espondylocostal dysplasia and defects of the ribs or sternum. The congenital type usually affects the relationship between the spine, rib cage and the lungs. Therefore, many of these patients will develop a progressive respiratory disturbance of restrictive type known as Thoracic Insufficiency Syndrome. Thoracic insufficiency syndrome is defining as a deficiency of the rib cage to maintain a normal respiration and to sustain the physiological growth of the lungs. In this article will discuss several conditions that will affect the development and function of the chest wall.

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“…CLINICAL CASES ковом возрасте [4,5,6,7]. Использование известных современных малоинвазивных технологий лечения деформаций грудной клетки при данном пороке значимого клинического эффекта не дает [8][9][10][11].…”

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Treatment of children with a rare form of congenital chest deformity

Стальмахович¹,

Dmitrienko²,

Тележкин

et al. 2020

Rossijskij vestnik detskoj hirurgii, anesteziologii i reanimato

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РезюмеЦель: Демонстрация случаев эффективного лечения редкой рукояточно-хрящевой формы деформации грудной клетки у детей. Методы: Оперативная коррекция рукояточно-хрящевой формы килевидной деформации грудной клетки проведена трем подросткам в возрасте 13-14 лет, что составило 2,2% от всех больных с КДГК. При лечении данной редкой формы деформации использована оригинальная методика, предусматривающая клиновидную резекцию грудины в месте ее деформации (на границе рукоятки и тела), видеоассистированную продольную неполную стернотомию, элевацию тела грудины с применением Nuss-процедуры, используемой для исправления воронкообразной деформации грудной клетки. Удаление металлоконструкции, обеспечивающей стабильное взаимоотношение грудинно-реберного комплекса в корригированном положении, проводилось через год. Результаты: При КДГК отсутствовали функциональные нарушения со стороны грудной клетки. Операция выполнялась по косметическим показаниям. У двоих подростков лечение закончено 4 года назад. Форма грудной клетки близка к правильной. Третий пациент находится на этапе лечения с установленной металлоконструкцией. Во всех трех случаях подростки и их родители удовлетворены результатами операции, эстетическим состоянием передней поверхности грудной клетки. Таким образом, использование вышеописанной лечебной тактики при данной форме деформации грудной клетки позволило получить хороший косметический результат. Ключевые слова: дети, грудная клетка, килевидная деформация

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Is the Abramson technique effective in pectus carinatum repair?

Abstract: The Abramson technique is an effective, minimally invasive procedure for PC with shorter operating and hospitalization times and low morbidity rates.

Cited by 16 publications

References 14 publications

Minimally invasive repair of pectus carinatum by modification of the Abramson technique.

Minimally invasive repair of pectus carinatum by modification of the Abramson technique.

Deformidad de la caja torácica

Treatment of children with a rare form of congenital chest deformity

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