Sternal Turnover Operation for Pectus Excavatum

Davis, Milton V.; Shah, Hitesh H.

doi:10.1016/s0003-4975(10)65647-0

Cited by 14 publications

(4 citation statements)

References 2 publications

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“…Costal cartilages and medial ends of the intercostal muscles were then resected en bloc (Fig. 2-C,D) [15] . The sternum was freed from its dorsal attachments, turned over and attached to its cranial part using Kirschner wires ( Fig.…”

Section: Sternal Turnover Techniquementioning

confidence: 99%

Pektus Ekskavatum Hastası Genç ve Yetişkin Kedilerde Cerrahi Tedavi Sonuçları

Özer¹,

Karabağlı²,

Akgül³

et al. 2017

Kafkas Univ Vet Fak Derg

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Citation of This Article AbstractPectus excavatum (PE) is an uncommon, congenital thoracic wall deformity that has been previously documented in a variety of species. Most of the time, the preferred treatment modality is surgical. External and internal splints may also be used according to the age of the patient and pliability of the sternum. In this study, the authors have aimed to share the clinical and radiographic results obtained in the treatment of PE by traditional external splintage, internal splintage and sternal turnover techniques in cats. For this purpose, PE was treated using the sternal turnover technique in 8 patients, internal splint in 1 patient and external splint in 9 patients. Ages of the patients varied between 2-24 months. The external splint technique was preferred to treat cats aged younger than 12 months. Frontosagittal indices (FSI), vertebral indices (VI) and clinical severity scores (CSS) were determined before and after surgical interventions. Mean FSI, VI and CSS values were 2.1, 10.0 and 0.8 and 1.8, 11.3 and 0.4 in external splint and sternal turnover groups, respectively. At the end of the study, FSI and VI values did not reach the reference interval, however, CSS values were improved in both the external splint and sternal turnover groups. In conclusion, results of the sternal turnover technique, used for the first time in feline patients with PE, were satisfactory even though complete recovery in FSI and VI values could not be achieved. Also, in the opinion of the researcher, results of using sternal turnover technique in feline PE patients younger than 12 months of age should be further investigated. Keywords: Pectus Excavatum, External Splint, Sternal Turnover, Cat Pektus Ekskavatum Hastası Genç ve Yetişkin Kedilerde Cerrahi Tedavi Sonuçları ÖzetPektus ekskavatum (PE) farklı türlerde görüldüğü önceki yıllarda rapor edilmiş bir kongenital toraks duvarı deformitesidir. Tedavisinde çoğu zaman cerrahi yöntemler tercih edilir ve hastanın yaşı ve sternumun esnekliği göz önüne alınarak eksternal veya internal splintlerden faydalanılır. Bu çalışmada PE 'nin geleneksel eksternal ve internal splint uygulaması ve sternal döndürme teknikleri ile tedavisi ile elde edilen klinik ve radyografik bulguların paylaşılması amaçlanmıştır. Bu maksatla çalışmamızda PE, 8 hastada sternal döndürme, 1 hastada internal splint, 9 hastada ise eksternal splint kullanılarak tedavi edilmiştir. Hastaların yaşı 2 ila 24 ay arasında değişmekteydi. Oniki aylıktan küçük kedilerin tedavisinde eksternal splint tekniği tercih edildi. Frontosagital indeks (FSI), vertebral indeks (VI) ve klinik önem skorları cerrahi girişim öncesi ve sonrasında tespit edildi. Ortalama FSI, VI ve klinik önem skorları, eksternal splint ve sternal döndürme uygulanan gruplar için sırasıyla 2.1, 10.0 ve 0.8 ve 1.8, 11.3 ve 0.4 olarak hesaplandı. Çalışmanın sonucunda eksternal splint ve sternal döndürme grubunda FSI ve VI değerleri normal referans aralığa getirilemedi ancak klinik önem skorları iyileştirilebildi. Sonuç olarak kedilerde PE ...

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Section: Sternal Turnover Techniquementioning

confidence: 99%

Pektus Ekskavatum Hastası Genç ve Yetişkin Kedilerde Cerrahi Tedavi Sonuçları

Özer¹,

Karabağlı²,

Akgül³

et al. 2017

Kafkas Univ Vet Fak Derg

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“…Later, with the progress of technology, the concepts and techniques of surgery tended to be coincident. Two surgical methods gradually became the mainstream, one was Ravitch procedure [8,9] , and the other was sternal turnover operation [10] .…”

Section: Introductionmentioning

confidence: 99%

“…The biggest advantage of this kind of operation is that the incision is large, the exposure is good, and the operation can be completed under direct vision, so the overall operation is more convenient. However, the convenience of this operation also bring a huge cost to the patient, which is significant trauma and long and unsightly scars after surgery [8][9][10] . Open operations continued for many years.…”

Section: Introductionmentioning

confidence: 99%

“…When Nuss procedure was first published publicly, it was named as minimally invasive surgery, which opened the history of minimally invasive surgery for pectus excavatum [11] . Compared with the traditional open operations, Nuss procedure has incomparable advantages [8][9][10][11] : First, the incision is small, hidden, and has a good aesthetic effect; Second, the injury is significantly reduced, which reduces the trauma of the whole operation; Third, the operation is very simple, as long as the surgeon master the essentials, it is easy to complete the operation; Fourth, the effect is ideal. As Nuss procedure has particularly prominent advantages, it received attention soon after it was published and became popular worldwide at the fastest speed.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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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