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Traditional Treatment for Chest-Wall Deformities and Novel Treatment Methods

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Chest Wall Deformities and Corrective Procedures

Abstract

Traditional treatment for chest-wall deformities relies upon surgical interventions that aim to increase thoracic function and restore kinetic and structural integrity to halt future chest-wall deformation prevent future deterioration of the chest wall. The Ravitch procedure is the most common intervention and involves subperichondrial resection of the deformed costal cartilages and sternal osteotomy for fixation of the sternum anteriorly. Novel minimally invasive techniques are gaining popularity amongst centers specialising in chest wall reconstruction, such as the Nuss procedure. At our centre we are researching the benefit of patient centered anesthesia on pain management post- Nuss procedure. We are also investigating various different techniques for bar removal and insertion using wire-assisted techniques. All of our research aims to increase the efficacy of minimally invasive corrective procedures.

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References

  1. Nasr A, Fecteau A, Wales PW. Comparison of the Nuss and the Ravitch procedure for pectus excavatum repair: a meta-analysis. J Pediatr Surg. 2010;45(5):880–6.

    Article  PubMed  Google Scholar 

  2. Ravitch M. The operative treatment of pectus excavatum. Ann Surg. 1949;129:429–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Robicsek F. Surgical repair of pectus excavatum and carinatum. Semin Thorac Cardiovasc Surg. 2009;21(1):64–75.

    Article  PubMed  Google Scholar 

  4. Robicsek F. Marlex mesh support for the correction of very severe and recurrent pectus excavatum. Coll Works Cardiopulm Dis. 1979;22:11–4.

    CAS  PubMed  Google Scholar 

  5. Welch KJ. Satisfactory surgical correction of pectus excavatum deformity in childhood; a limited opportunity. J Thorac Surg. 1958;36(5):697–713.

    CAS  PubMed  Google Scholar 

  6. Lucenic M, Janik M, Benej R, Garchar A, Juhos P. Surgical repair of recurrent pectus excavatum in adults and adolescents. Rozhl Chir. 2015;94(3):111–6.

    CAS  PubMed  Google Scholar 

  7. Oncel M, Tezcan B, Akyol KG, Dereli Y, Sunam GS. Clinical experience of repair of pectus excavatum and carinatum deformities. Cardiovasc J Afr. 2013;24(8):318–21.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Cobben JM, Oostra RJ, van Dijk FS. Pectus excavatum and carinatum. Eur J Med Genet. 2014;57(8):414–7.

    Article  PubMed  Google Scholar 

  9. Martinez-Ferro M. New approaches to pectus and other minimally invasive surgery in Argentina. J Pediatr Surg. 2010;45(1):19–27.

    Article  PubMed  Google Scholar 

  10. Jo WM, Choi YH, Sohn YS et al. Surgical treatment for pectus excavatum. J Korean Med Sci. 2003;18: 360–4.

    Google Scholar 

  11. Inge TH, Owings E, Blewett CJ et al. Reduced hospitalization cost for patients with pectus excavatum treated using minimally invasive surgery. Surg Endosc. 2003;17:1609–13.

    Google Scholar 

  12. Lam MW, Klassen AF, Montgomery CJ et al. Quality-of-life outcomes after surgical correction of pectus excavatum: a comparison of the Ravitch and Nuss procedures. J Pediatr Surg. 2008;43:819–25.

    Google Scholar 

  13. Fonkalsrud EW, Beanes S, Hebra A et al. Comparison of minimally invasive and modified Ravitch pectus excavatum repair. J Pediatr Surg. 2002;37:413–17.

    Google Scholar 

  14. Miller KA, Woods RK, Sharp RJ et al. Minimally invasive repair of pectus excavatum: a single institution’s experience. Surgery. 2001;130:652–57.

    Google Scholar 

  15. Nuss D, Kelly Jr RE et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg. 1998;33:545–55.

    Google Scholar 

  16. Molik KA, Engum SA, Rescorla FJ et al. Pectus excavatum repair: experience with standard and minimal invasive techniques. J Pediatr Surg. 2001;36:324–28.

    Google Scholar 

  17. Boehm RA, Muensterer OJ, Till H. Comparing minimally invasive funnel chest repair versus the conventional technique: an outcome analysis in children. Plast Reconstr Surg. 2004;114:668–73.

    Google Scholar 

  18. Antonoff MB, Erickson AE, Hess DJ et al. When patients choose: comparison of Nuss, Ravitch, and Leonard procedures for primary repair of pectus excavatum. J Pediatr Surg. 2009;44:1113–18.

    Google Scholar 

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Correspondence to Shyam K. Kolvekar FRCSCTh .

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Simon, N.L., Kolvekar, S.K. (2016). Traditional Treatment for Chest-Wall Deformities and Novel Treatment Methods. In: Kolvekar, S., Pilegaard, H. (eds) Chest Wall Deformities and Corrective Procedures. Springer, Cham. https://doi.org/10.1007/978-3-319-23968-2_8

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  • DOI: https://doi.org/10.1007/978-3-319-23968-2_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23966-8

  • Online ISBN: 978-3-319-23968-2

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