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Modification of the Nuss Procedure: The Single-incision Technique.

Aizawa T, Togashi S, Domoto T, Sasaki K, Kiyosawa T, Sekido M - Plast Reconstr Surg Glob Open (2014)

Bottom Line: To facilitate passing of the bar, a traction guide was created according to our unique method.There was no need for a bar stabilizer, and no severe intraoperative complications occurred.All patients exhibited satisfactory short-term results; however, 1 patient suffered from bar rotation and required repeat surgery for fixation.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama, Japan; Department of Plastic and Reconstructive Surgery, Shonai Amarume Hospital, Yamagata, Japan; and Department of Plastic and Reconstructive Surgery, Tsukuba University, Ibaraki, Japan.

ABSTRACT

Summary: The Nuss procedure is a prevalent minimally invasive surgery for pectus excavatum. Although the Nuss procedure has the advantage of leaving less obtrusive scars, the standard technique requires at least 3 skin incisions to insert several instruments. We experienced 7 cases of the modified Nuss procedure using a single incision during a 7-year period. To facilitate passing of the bar, a traction guide was created according to our unique method. There was no need for a bar stabilizer, and no severe intraoperative complications occurred. All patients exhibited satisfactory short-term results; however, 1 patient suffered from bar rotation and required repeat surgery for fixation. Two patients underwent bar removal via the same single incision without any difficulties.

No MeSH data available.


Related in: MedlinePlus

The postoperative clinical appearance and assessment by computed tomography. Only a single scar is observed on the right side of the chest, with a satisfactory correction of the deformity.
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Figure 4: The postoperative clinical appearance and assessment by computed tomography. Only a single scar is observed on the right side of the chest, with a satisfactory correction of the deformity.

Mentions: None of 7 patients had extreme depression or eccentric asymmetry. The mean age of the patients was 16.4 ± 7.31 years, and the mean operative time was 78 ± 20.7 minutes. No severe intraoperative complications, such as cardiac injury or other bleeding events, occurred. Bar rotation occurred in 1 patient, who returned to surgery for repeat fixation of the pectus bar. The Haller’s index8 improved in 4 cases. Although the remaining 3 patients did not receive follow-up computed tomography, they demonstrated obvious improvements in their clinical appearance (Figs. 3 and 4). Patient satisfaction with the clinical results was excellent or good in all cases (Table 1).


Modification of the Nuss Procedure: The Single-incision Technique.

Aizawa T, Togashi S, Domoto T, Sasaki K, Kiyosawa T, Sekido M - Plast Reconstr Surg Glob Open (2014)

The postoperative clinical appearance and assessment by computed tomography. Only a single scar is observed on the right side of the chest, with a satisfactory correction of the deformity.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4255899&req=5

Figure 4: The postoperative clinical appearance and assessment by computed tomography. Only a single scar is observed on the right side of the chest, with a satisfactory correction of the deformity.
Mentions: None of 7 patients had extreme depression or eccentric asymmetry. The mean age of the patients was 16.4 ± 7.31 years, and the mean operative time was 78 ± 20.7 minutes. No severe intraoperative complications, such as cardiac injury or other bleeding events, occurred. Bar rotation occurred in 1 patient, who returned to surgery for repeat fixation of the pectus bar. The Haller’s index8 improved in 4 cases. Although the remaining 3 patients did not receive follow-up computed tomography, they demonstrated obvious improvements in their clinical appearance (Figs. 3 and 4). Patient satisfaction with the clinical results was excellent or good in all cases (Table 1).

Bottom Line: To facilitate passing of the bar, a traction guide was created according to our unique method.There was no need for a bar stabilizer, and no severe intraoperative complications occurred.All patients exhibited satisfactory short-term results; however, 1 patient suffered from bar rotation and required repeat surgery for fixation.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama, Japan; Department of Plastic and Reconstructive Surgery, Shonai Amarume Hospital, Yamagata, Japan; and Department of Plastic and Reconstructive Surgery, Tsukuba University, Ibaraki, Japan.

ABSTRACT

Summary: The Nuss procedure is a prevalent minimally invasive surgery for pectus excavatum. Although the Nuss procedure has the advantage of leaving less obtrusive scars, the standard technique requires at least 3 skin incisions to insert several instruments. We experienced 7 cases of the modified Nuss procedure using a single incision during a 7-year period. To facilitate passing of the bar, a traction guide was created according to our unique method. There was no need for a bar stabilizer, and no severe intraoperative complications occurred. All patients exhibited satisfactory short-term results; however, 1 patient suffered from bar rotation and required repeat surgery for fixation. Two patients underwent bar removal via the same single incision without any difficulties.

No MeSH data available.


Related in: MedlinePlus