Muharrem Özkaya1, Mehmet Bilgin2. 1. Department Of Thoracic Surgery, University Of Health Sciences Antalya Training and Research Hospital, Varlık Mahallesi Kazım Karabekir Caddesi, Soğuksu, 07100, Antalya, Turkey. muharrem.ozkaya@sbu.edu.tr. 2. Department Of Thoracic Surgery, University Of Health Sciences Antalya Training and Research Hospital, Varlık Mahallesi Kazım Karabekir Caddesi, Soğuksu, 07100, Antalya, Turkey.
Abstract
OBJECTIVES: Over the past decade, minimal invasive surgery for correction of pectus carinatum has gained worldwide acceptance. This study reviews our clinical experience with minimally invasive repair of pectus carinatum (MIRPC) since 2008. METHODS: Between 2008 and 2018, 101 patients (77 male, 24 female) underwent correction of pectus carinatum with the MIRPC technique. The mean age of the patients was 14.7 ± 4.8 (3-38) years. Over an 8 years' experience we slightly modified the original Abramson technique. All patients presented with cosmetic complaints and all had a flexible chest wall on "compression test". Early follow-up was on postoperative day 15 and 30. RESULTS: The mean operative time was 42.1 ± 16.9 min. The mean hospital stay was 4.2 ± 0.9 days. Postoperative complications included pneumothorax (n = 2, 1.9%), wound infection (n = 2, 1.9%), skin perforation (n = 2, 1.9%), intolerable pain (n = 1, 0.9%), skin hyperpigmentation (n = 1, 0.9%), and overcorrection (n = 1, 0.9%). Initial postoperative results were excellent in all patients. The bars were removed at a median of 24.8 ± 4.5 months in 44 of 101 patients. 43 of 44 (97.7%) patients whose bar were removed reported excellent results. CONCLUSIONS: MIRPC is a feasible procedure with low morbidity and excellent cosmetic results in the treatment of pectus carinatum deformities in selected patients.
OBJECTIVES: Over the past decade, minimal invasive surgery for correction of pectus carinatum has gained worldwide acceptance. This study reviews our clinical experience with minimally invasive repair of pectus carinatum (MIRPC) since 2008. METHODS: Between 2008 and 2018, 101 patients (77 male, 24 female) underwent correction of pectus carinatum with the MIRPC technique. The mean age of the patients was 14.7 ± 4.8 (3-38) years. Over an 8 years' experience we slightly modified the original Abramson technique. All patients presented with cosmetic complaints and all had a flexible chest wall on "compression test". Early follow-up was on postoperative day 15 and 30. RESULTS: The mean operative time was 42.1 ± 16.9 min. The mean hospital stay was 4.2 ± 0.9 days. Postoperative complications included pneumothorax (n = 2, 1.9%), wound infection (n = 2, 1.9%), skin perforation (n = 2, 1.9%), intolerable pain (n = 1, 0.9%), skin hyperpigmentation (n = 1, 0.9%), and overcorrection (n = 1, 0.9%). Initial postoperative results were excellent in all patients. The bars were removed at a median of 24.8 ± 4.5 months in 44 of 101 patients. 43 of 44 (97.7%) patients whose bar were removed reported excellent results. CONCLUSIONS: MIRPC is a feasible procedure with low morbidity and excellent cosmetic results in the treatment of pectus carinatum deformities in selected patients.