Surgical correction of asymmetric keeled deformity of the chest in children (literature review)

Abstract

Introduction. The purpose of the literature review on surgical treatment of patients with asymmetric keel deformity chest in children - to determine the optimal methods of surgical correction of this pathology.Material and methods. Taking into account the shape, localization and type of severity of the asymmetric keel deformity the data of surgical treatment of children with asymmetric chest deformity using widely known methods of thoracoplasty have been studied. In a comparative aspect, the data on the use of the minimally invasive D. Nuss technique and its modifications are analyzed.Results. It was found that thoracoplasty by the Bairov method is the least effective, in addition, after them the greatest number of postoperative complications (10.5%) in the form of hemo-, pneumo- and hydrothorax was recorded, which significantly increased the period of hospital stay and subsequent rehabilitation of patients. The use of minimally invasive interventions, on the contrary, turned out to be the most effective of all the methods used to correct chest deformities and is characterized by a low percentage of complications, however, long-term postoperative analgesia occurs.Conclusion. Thus, at the present time there is no consensus on the priority of methods of surgical correction of ACDGC, which necessitates further research in this area and improvement of existing and development of new methods of surgical treatment of the pathology in question.