Problemi non correnti
Una tecnica mininvasiva per il trattamento del petto escavato: la “barra di Nuss”
A MINI-INVASIVE TECHNIQUE FOR THE TREATMENT OF PECTUS EXCAVATUM
ANTONIO MESSINEO
UO di Chirurgia Pediatrica, IRCCS “Burlo Garofolo”, Trieste
Febbraio 2000 - pagg. 107 -109
Abstract
Pectus excavatum is a congenital deformity characterized by a concavity of the sternum,
and occurs in 1/1000 children. In a small proportion of cases, the malformation is severe
enough to require surgical correction, usually in adolescent age. This invasive approach,
wich implies resection of cartilage and bone, has been progressively abandoned due to significant
complication rate and disappointing results in 5-36% of cases.
A new technique, first utilized by Donald Nuss in 1987, to reshape the chest of adolescents
with severe malformations, is described. This technique implies the use of a bar (the pectus
bar) and a thoracoscope and allows to achieve excellent long-term results in a short time
and with no complications.
Parole chiave
Classificazione MeSH
Bibliografia
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4. Ravitch MM. The operative treatment of pectus excavatum. Ann Surg 1949;129:429- 44.
5. Haller JA Jr, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg 1987; 22:904-8.
6. Welch KJ. Satisfatory surgical correction of pectus excavatum deformity in childhood. J Thorac Surg 1958;36:397-413.
7. Shamberger RC. Congenital chest wall deformities. In: O’Neill JA Jr, Rowe MI, Grosfeld JL, Fonkalssrud EW, Coran AG (eds). Pediatric Surgery. Vol 1, 5th ed. Chicago: Year Book Medical Publishers,1998:787-97.
8. Nuss D, Kelly RE Jr, Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 1998;33:545-52.
9. Nuss D, Kelly RE, Croitoru DP, Sweland B. Repair of Pectus Excavatum. Pediatric Endosurgery and Innovative Techniques, Vol 2, n.4, 1998:205-21.
2. Griffin DP. Congenital Deformities. In: Welch KJ, Randolph JG, Ravitch MM, O’Neil JA Jr, Rowe MI (eds). Pediatric Surgery, 4th ed., Chicago: Year Book Medical Publishers, 1989:1453-63.
3. Kelley SW. Surgical Diseases of Children. Dislocations, Congenital and Acquired. Vol 1, 3rd ed. St. Louis: CV Mosby Co, 1929:537.
4. Ravitch MM. The operative treatment of pectus excavatum. Ann Surg 1949;129:429- 44.
5. Haller JA Jr, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg 1987; 22:904-8.
6. Welch KJ. Satisfatory surgical correction of pectus excavatum deformity in childhood. J Thorac Surg 1958;36:397-413.
7. Shamberger RC. Congenital chest wall deformities. In: O’Neill JA Jr, Rowe MI, Grosfeld JL, Fonkalssrud EW, Coran AG (eds). Pediatric Surgery. Vol 1, 5th ed. Chicago: Year Book Medical Publishers,1998:787-97.
8. Nuss D, Kelly RE Jr, Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 1998;33:545-52.
9. Nuss D, Kelly RE, Croitoru DP, Sweland B. Repair of Pectus Excavatum. Pediatric Endosurgery and Innovative Techniques, Vol 2, n.4, 1998:205-21.